ELLA I ZATULOVSKY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

ELLA I

Last Name

ZATULOVSKY

Business Name

ELLA I ZATULOVSKY

Original Issue Date

09/18/1987

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012