MARINA S PROTOPOPOVA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

MARINA

Middle

Last Name

PROTOPOPOVA

Business Name

MARINA S PROTOPOPOVA

Original Issue Date

10/22/2018

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

BROOKFIELD

State

Zip

53005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024