THUY B BALDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

THUY

Middle

Last Name

BALDA

Business Name

THUY B BALDA

Original Issue Date

08/08/2013

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024