GREGORY J BALUK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

BALUK

Suffix

DDS

Business Name

GREGORY J BALUK DDS

Original Issue Date

12/11/1990

Effective Date

06/26/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018