JOHN ROLLIN BUBERT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

JOHN ROLLIN

Last Name

BUBERT

Suffix

DDS

Business Name

JOHN ROLLIN BUBERT DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005