RONALD VIDYA HUBLALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

RONALD

Middle

VIDYA

Last Name

HUBLALL

Suffix

Business Name

RONALD VIDYA HUBLALL MD

Original Issue Date

07/29/2019

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023