EFTA00523487.pdf

GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES 0 VIRGIN ISLAND DEPARTMENT OF HEALTH Office of Professional Licensure & Health Planning 3500 Estate Richmond, Christiansted, VI 00820.4370 September 7, 2018 Dr. KARYNA SHULIAK 6100 Red Hook Quarters, Ste. B-3 St. Thomas, VI 00802 RE: VI Dental License 2018-2020 DEAR DR. SHULIAK: XT 3260/3261 Please find enclosed your Virgin Islands Board of Dental Examiners license for the practice of Dentistry through September 30, 2020. Please verify your license information and contact the Office of Professional Licensure & Health Planning (PLHP) if any corrections are needed. Your license to practice requires that you: • Maintain your liability insurance coverage for the entire license period while practicing; failure to do so will result in the revocation of your VI Dentist license; • Contact PLHP immediately with any changes to your name, EMAIL, mailing address or other contact information; • The processing fee for official license verifications, good standing letters, license copies or replacement licenses is $10.00 payable to "Gov't of the VI"; and • Please notify PLHP with any changes to your practice status in the territory. You are reminded that you are obligated to make provisions for your patient's care and records availability in the event that you depart the territory. It is advisable that you retain a copy of your license for your records. Please contact PLHP office at ext. 3260/3261 if you have any questions or need further assistance. Best wishes for a successful practice! Sincerely, E. Olutayo Delano, BDS, MS Ciiairpersun, 'Vi GOcird cil Dell Lc:li EXdl 'thief THIS CERTIFIES THAT VI REG. NO. KARYNA SHULIAK, DDS 2230 IS GRANTED A LICENSE TO PR AC ER I DENTISTRY IN THE D.S. VIRGIN ISLANDS AN!! Is R -GISTERED UGH October er 30, 2020 CHAIRPERSO DE INERS EFTA00523487