BRIAN A BALDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020401

License Status

ACTIVE

Business

First Name

BRIAN A

Last Name

BALDA

Business Name

BRIAN A BALDA

Original Issue Date

10/21/1986

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/12/2024