TERRY J BALAGNA MD - Medical Doctor License in Illinois | # 125017664

TERRY J BALAGNA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017664

License Status

EXPIRED

Business

N

First Name

TERRY J

Last Name

BALAGNA

Suffix

MD

Business Name

TERRY J BALAGNA MD

Original Issue Date

09/04/1984

Effective Date

09/04/1984

Expiration Date

07/01/1986

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006