KENNETH EDWARD BALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

EDWARD

Last Name

BALA

Suffix

DDS

Business Name

KENNETH EDWARD BALA DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

11/04/2009