ELPIDIA H BALBASTRO MD - Medical Doctor License in Illinois | # 125027006

ELPIDIA H BALBASTRO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027006

License Status

EXPIRED

Business

N

First Name

ELPIDIA H

Last Name

BALBASTRO

Suffix

MD

Business Name

ELPIDIA H BALBASTRO MD

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

06/19/1994

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006