ALEXANDRIA BALICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEXANDRIA

Last Name

BALICH

Business Name

ALEXANDRIA BALICH DDS

Original Issue Date

06/17/2014

Effective Date

07/13/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018