MARY ANN BALDINO-GOMEZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

MARY

Middle

ANN

Last Name

BALDINO-GOMEZ

Suffix

DDS

Business Name

MARY ANN BALDINO-GOMEZ DDS

Original Issue Date

10/28/1987

Effective Date

08/11/2024

Expiration Date

09/30/2027

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/11/2024