CARYN MARIE BALSEWICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000498

License Status

NOT RENEWED

Business

First Name

CARYN

Middle

MARIE

Last Name

BALSEWICH

Suffix

DDS

Business Name

CARYN MARIE BALSEWICH DDS

Original Issue Date

06/22/2000

Effective Date

06/22/2000

Expiration Date

09/30/2002

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005