ERIC JEFFREY KUBACKI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

Title

DMD

First Name

ERIC

Middle

JEFFREY

Last Name

KUBACKI

Business Name

ERIC JEFFREY KUBACKI DMD

Original Issue Date

07/24/2023

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63119

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2024