JOSEPH DUANE BALDA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

Title

DMD

First Name

JOSEPH

Middle

DUANE

Last Name

BALDA

Business Name

JOSEPH DUANE BALDA DMD

Original Issue Date

06/05/2017

Effective Date

10/09/2021

Expiration Date

09/30/2024

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025