RODERIC STEPHEN HUBER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

First Name

RODERIC

Middle

STEPHEN

Last Name

HUBER

Suffix

Business Name

RODERIC STEPHEN HUBER MD

Original Issue Date

06/09/1998

Effective Date

06/09/1998

Expiration Date

07/31/2002

City

SAVANNA

State

Zip

61074

County

CARROLL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006