Lookup Detail View

Licensee Information
This serves as primary source verification* of the license.
*Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S.
NamePublic Address
John Wallace HubbachCastle Rock, CO 80104

Credential Information
License NumberLicense MethodLicense TypeLicense StatusOriginal Issue DateEffective DateExpiration Date
DEN.00104015ExaminationDentistExpired08/16/197603/01/201002/29/2012

Board/Program Actions
Discipline
There is no Discipline or Board Actions on file for this credential.

Generated on:  3/30/2023 6:48:05 PM