GREGORY J TULACHKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

GREGORY J

Last Name

TULACHKA

Business Name

GREGORY J TULACHKA

Original Issue Date

08/22/1986

Effective Date

08/22/1986

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005