KYRIAKI BOURAKI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

KYRIAKI

Last Name

BOURAKI

Business Name

KYRIAKI BOURAKI

Original Issue Date

01/20/2021

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

LOS ANGELES

State

Zip

90066

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/09/2024