MELODY BALOBALO CHO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

MELODY

Last Name

BALOBALO CHO

Business Name

MELODY BALOBALO CHO

Original Issue Date

04/13/1995

Effective Date

04/13/1995

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005