WADE DANIEL KUBAT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154071

License Status

ACTIVE

Business

Title

First Name

WADE

Middle

DANIEL

Last Name

KUBAT

Business Name

WADE DANIEL KUBAT DO

Original Issue Date

08/21/2020

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/18/2023