YETTA GALIBER MCCULLOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000305

License Status

NOT RENEWED

Business

First Name

YETTA

Middle

GALIBER

Last Name

MCCULLOM

Suffix

DDS

Business Name

YETTA GALIBER MCCULLOM DDS

Original Issue Date

11/11/1988

Effective Date

11/11/1988

Expiration Date

11/09/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005