RANDY DEWAIN BALMFORTH DO - Medical Doctor License in Illinois | # 036132515

RANDY DEWAIN BALMFORTH DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132515

License Status

ACTIVE

Business

N

Title

DO

First Name

RANDY

Middle

DEWAIN

Last Name

BALMFORTH

Business Name

RANDY DEWAIN BALMFORTH DO

Original Issue Date

04/18/2013

Effective Date

06/22/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2023