MELISSA ANN BALLENGEE MD - Medical Doctor License in Illinois | # 125059868

MELISSA ANN BALLENGEE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059868

License Status

EXPIRED

Business

N

Title

MD

First Name

MELISSA

Middle

ANN

Last Name

BALLENGEE

Business Name

MELISSA ANN BALLENGEE MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2014

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

03/13/2015