GREGORY T BALES - Medical Doctor License in Illinois | # 125025270

GREGORY T BALES

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025270

License Status

EXPIRED

Business

N

First Name

GREGORY T

Last Name

BALES

Business Name

GREGORY T BALES

Original Issue Date

05/31/1990

Effective Date

05/31/1990

Expiration Date

06/22/1995

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

09/22/2006