PHILLIP ALEXANDROVICH ULYANOVSKIY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172114

License Status

ACTIVE

Business

Title

First Name

PHILLIP

Middle

ALEXANDROVICH

Last Name

ULYANOVSKIY

Business Name

PHILLIP ALEXANDROVICH ULYANOVSKIY MD

Original Issue Date

09/24/2024

Effective Date

09/24/2024

Expiration Date

07/31/2026

City

NEWINGTON

State

Zip

06111

Ever Disciplined

LastModifiedDate

09/24/2024