ROSARIO BALITA CARAG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

ROSARIO BALITA

Last Name

CARAG

Suffix

DMD

Business Name

ROSARIO BALITA CARAG DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005