Kiah A Ballantine

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019031865

Status

Expired (Not Renewed)

First issued

August 28, 2018

Expired

January 31, 2022

License holder

Kiah A Ballantine

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/28/2018

Other Illinois licenses under this name

• IL
  Kiah A Ballantine

  License 31*****35

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Chicago, IL

  Expired Jan 31, 2022

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