ROBERT S BALLER MD - Medical Doctor License in Illinois | # 036040225

ROBERT S BALLER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040225

License Status

NOT RENEWED

Business

N

First Name

ROBERT S

Last Name

BALLER

Suffix

MD

Business Name

ROBERT S BALLER MD

Original Issue Date

03/02/1966

Effective Date

04/29/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017