TATIANA M MITROVICH KOUKOUCHKINA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024851

License Status

ACTIVE

Business

First Name

TATIANA

Middle

Last Name

MITROVICH KOUKOUCHKINA

Suffix

DDS

Business Name

TATIANA M MITROVICH KOUKOUCHKINA DDS

Original Issue Date

09/21/1998

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

08/25/2024