HECTOR LOPEZ BALLESTEROS MD - Medical Doctor License in Arizona | # 036044565

HECTOR LOPEZ BALLESTEROS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044565

License Status

NOT RENEWED

Business

N

First Name

HECTOR LOPEZ

Last Name

BALLESTEROS

Suffix

MD

Business Name

HECTOR LOPEZ BALLESTEROS MD

Original Issue Date

01/01/1997

State

AZ

Ever Disciplined

N

LastModifiedDate

09/20/2006