JONATHAN T BALAGNA MD - Medical Doctor License in Illinois | # 125062745

JONATHAN T BALAGNA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062745

License Status

EXPIRED

Business

N

Title

MD

First Name

JONATHAN

Middle

T

Last Name

BALAGNA

Business Name

JONATHAN T BALAGNA MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2016

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/16/2016