KENNETH EDWARD BALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012444

License Status

NOT RENEWED

Business

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

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/08/2010