REIKO E BALARK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

REIKO E

Last Name

BALARK

Business Name

REIKO E BALARK

Original Issue Date

12/08/1986

Effective Date

04/07/2022

Expiration Date

09/30/2024

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025