JORGE A BALAREZO MD - Medical Doctor License in Illinois | # 036046670

JORGE A BALAREZO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046670

License Status

NOT RENEWED

Business

N

First Name

JORGE A

Last Name

BALAREZO

Suffix

MD

Business Name

JORGE A BALAREZO MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006