DANUTE A BALCIUNAS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

CANCELLED

Business

First Name

DANUTE A

Last Name

BALCIUNAS

Business Name

DANUTE A BALCIUNAS

Original Issue Date

09/29/1986

Effective Date

09/29/1986

Expiration Date

09/30/1992

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005