SHANICE SHAMELA KULOBA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

Title

DDS

First Name

SHANICE

Middle

SHAMELA

Last Name

KULOBA

Business Name

SHANICE SHAMELA KULOBA DDS

Original Issue Date

12/03/2021

Effective Date

12/03/2021

Expiration Date

09/30/2024

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025