KENNETH EDWARD BALA DDS - Dentist License in Illinois | # 019012444

KENNETH EDWARD BALA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012444

License Status

NOT RENEWED

Business

N

First Name

KENNETH

Middle

EDWARD

Last Name

BALA

Suffix

DDS

Business Name

KENNETH EDWARD BALA DDS

Original Issue Date

07/14/1964

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010