GLEN C BALCH MD - Medical Doctor License in Illinois | # 036118605

GLEN C BALCH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118605

License Status

NOT RENEWED

Business

N

First Name

GLEN

Middle

C

Last Name

BALCH

Suffix

MD

Business Name

GLEN C BALCH MD

Original Issue Date

06/04/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011