GARY PHILLIP BALAS

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****74

ACTIVE

N

GARY PHILLIP

BALAS

GARY PHILLIP BALAS

10/07/1986

07/08/2024

09/30/2027

ARLINGTON HEIGHTS

IL

60004

COOK

II III IV V

N

07/08/2024