PETER J PULLARA JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

PULLARA

Suffix

Business Name

PETER J PULLARA JR

Original Issue Date

02/15/1989

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2024