SAMANTHA ELISABETH BALLARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015670

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ELISABETH

Last Name

BALLARD

Business Name

SAMANTHA ELISABETH BALLARD

Original Issue Date

10/14/2016

Effective Date

10/02/2018

Expiration Date

01/31/2022

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

12/16/2025