SIMONA BALAN DDS - Dentist License in Illinois | # 018001177

SIMONA BALAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001177

License Status

NOT RENEWED

Business

N

First Name

SIMONA

Last Name

BALAN

Suffix

DDS

Business Name

SIMONA BALAN DDS

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005