BRIAN A BALDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

BRIAN A

Last Name

BALDA

Business Name

BRIAN A BALDA

Original Issue Date

07/11/1991

Effective Date

07/15/2024

Expiration Date

09/30/2027

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022