BALEIGH A SALVINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

Title

DDS

First Name

BALEIGH

Middle

Last Name

SALVINO

Business Name

BALEIGH A SALVINO DDS

Original Issue Date

08/08/2020

Effective Date

08/08/2020

Expiration Date

01/31/2022

City

BURR RIDGE

State

Zip

60527

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022