PAUL RICHARD BALASH MD - Medical Doctor License in Illinois | # 125056378

PAUL RICHARD BALASH MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056378

License Status

CANCELLED

Business

N

Title

MD

First Name

PAUL

Middle

RICHARD

Last Name

BALASH

Business Name

PAUL RICHARD BALASH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

04/15/2009