CARYN MARIE BALSEWICH DDS - Dentist License in Illinois | # 137000498

CARYN MARIE BALSEWICH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000498

License Status

NOT RENEWED

Business

N

First Name

CARYN

Middle

MARIE

Last Name

BALSEWICH

Suffix

DDS

Business Name

CARYN MARIE BALSEWICH DDS

Original Issue Date

06/22/2000

Effective Date

06/22/2000

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/17/2005