SIMONA BALAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001177

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005