Raymond Samson Balongag Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019015045

Status

Expired (Not Renewed)

First issued

January 14, 1975

Expired

September 30, 2002

License holder

Raymond Samson Balongag Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

01/14/1975

Other Illinois licenses under this name

• IL
  Raymond Samson Balongag Dmd

  License 31*****54

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Elgin, IL

  Expired Sep 30, 2002

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