WASAN BALOCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

Title

DMD

First Name

WASAN

Last Name

BALOCH

Business Name

WASAN BALOCH DMD

Original Issue Date

07/01/2015

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2024