LESZEK A BALLA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017066

License Status

ACTIVE

Business

First Name

LESZEK

Middle

Last Name

BALLA

Suffix

DDS

Business Name

LESZEK A BALLA DDS

Original Issue Date

02/19/1980

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2024