STEVE J BALLIS

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****06

ACTIVE

N

STEVE

J

BALLIS

STEVE J BALLIS

11/18/1987

06/21/2024

09/30/2027

LAKE FOREST

IL

60045

LAKE

II III IV V

N

06/21/2024