DANIEL RAYMOND BALCARCEL MD - Medical Doctor License in Illinois | # 125070085

DANIEL RAYMOND BALCARCEL MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070085

License Status

CANCELLED

Business

N

Title

MD

First Name

DANIEL

Middle

RAYMOND

Last Name

BALCARCEL

Business Name

DANIEL RAYMOND BALCARCEL MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

05/02/2017