GALINA VALENTINOVNA BULATOVA DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002092

License Status

EXPIRED

Business

Title

DMD

First Name

GALINA

Middle

VALENTINOVNA

Last Name

BULATOVA

Business Name

GALINA VALENTINOVNA BULATOVA DMD

Original Issue Date

09/21/2018

Effective Date

09/21/2018

Expiration Date

09/21/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/28/2022