ROBERT S BALLER MD PC Professional Service Corporation License verification

Business Entity

NOT RENEWED

License Type

Professional Service Corporation

Description

REGISTERED PROFESSIONAL SERVICE CORPORATION

License Number

060007400

License Status

NOT RENEWED

Business

Business Name

ROBERT S BALLER MD PC

Original Issue Date

06/04/1999

Effective Date

10/26/2006

Expiration Date

01/01/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/15/2008