NED B HUBBARD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

First Name

NED

Middle

Last Name

HUBBARD

Suffix

Business Name

NED B HUBBARD OD

Original Issue Date

03/28/1996

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022