MONETTE S BALITE LACAP - Medical Doctor License in Illinois | # 125039862

MONETTE S BALITE LACAP

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039862

License Status

EXPIRED

Business

N

First Name

MONETTE

Middle

S

Last Name

BALITE LACAP

Business Name

MONETTE S BALITE LACAP

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

06/24/2002

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006