BRUNO KULOBA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRUNO

Last Name

KULOBA

Business Name

BRUNO KULOBA DDS

Original Issue Date

11/23/2019

Effective Date

11/23/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022