YETTA GALIBER MCCULLOM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

YETTA

Middle

GALIBER

Last Name

MCCULLOM

Suffix

DDS

Business Name

YETTA GALIBER MCCULLOM DDS

Original Issue Date

08/22/1990

Effective Date

07/09/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018