POLINA GEORGIEVNA GUBAREVA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

Title

DMD

First Name

POLINA

Middle

GEORGIEVNA

Last Name

GUBAREVA

Business Name

POLINA GEORGIEVNA GUBAREVA DMD

Original Issue Date

07/16/2022

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2024