PETER BALYS POSKUS DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****72

NOT RENEWED

N

PETER BALYS

POSKUS

DDS

PETER BALYS POSKUS DDS

01/01/1998

06/01/1982

CREVE COEUR

IL

61611

TAZEWELL

II III IV V

N

10/13/2005