SALVATORE CHARLE BALSAMO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011422

License Status

INACTIVE

Business

First Name

SALVATORE CHARLE

Last Name

BALSAMO

Business Name

SALVATORE CHARLE BALSAMO

Original Issue Date

01/08/1959

Effective Date

01/08/1959

Expiration Date

09/30/1990

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005