RONALD VIDYA HUBLALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038431

License Status

EXPIRED

Business

First Name

RONALD

Middle

VIDYA

Last Name

HUBLALL

Suffix

Business Name

RONALD VIDYA HUBLALL MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006