HANEEN BALLOUTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015761

License Status

ACTIVE

Business

First Name

HANEEN

Last Name

BALLOUTA

Business Name

HANEEN BALLOUTA

Original Issue Date

05/16/2017

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/16/2024