JENNIFER MORGAN BALASH MD - Medical Doctor License in Illinois | # 125056489

JENNIFER MORGAN BALASH MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056489

License Status

CANCELLED

Business

N

Title

MD

First Name

JENNIFER

Middle

MORGAN

Last Name

BALASH

Business Name

JENNIFER MORGAN BALASH MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

State

IL

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

N

LastModifiedDate

06/29/2012