ROBERT BALLARD JOHN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

ROBERT BALLARD

Last Name

JOHN

Business Name

ROBERT BALLARD JOHN

Original Issue Date

06/24/1986

Effective Date

05/11/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2024