Case File
efta-efta00524024DOJ Data Set 9OtherApplication Summary
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00524024
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Application Summary
3/26/19 11:26 AM
License Type:
License Number:
File Number:
Application:
Application Number:
Application Date:
Dentist
51564
Change Status to Inactive
6822985
03/26/2019 (mm/dd/yyyy)
Page 1 of 1
Personal Detail
First Name:
Last Name:
KARYNA
SHULIAK
Addresses
License Related Addresses
Address of Record
Warning:
Confidential Address
Warning:
In order to protect your privacy and identity,
address will not be displayed.
In order to protect your privacy and identity,
address will not be displayed.
Attachments
Attestation
I certify under the penalty of perjury under the laws of the State of California that the foregoing
and all attachments are true and correct.
Signature:
1553674801737
EFTA00524024
Technical Artifacts (2)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
3674801737Phone
6822985Related Documents (6)
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