NATHANIEL KYLE BALLEK MD - Medical Doctor License in Illinois | # 036129515

NATHANIEL KYLE BALLEK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129515

License Status

NOT RENEWED

Business

N

Title

MD

First Name

NATHANIEL

Middle

KYLE

Last Name

BALLEK

Business Name

NATHANIEL KYLE BALLEK MD

Original Issue Date

01/25/2012

Effective Date

01/25/2012

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014