DMITRY BALIAN MD - Medical Doctor License in Illinois | # 125075300

DMITRY BALIAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075300

License Status

EXPIRED

Business

N

Title

MD

First Name

DMITRY

Last Name

BALIAN

Business Name

DMITRY BALIAN MD

Original Issue Date

08/09/2019

Effective Date

08/09/2019

Expiration Date

08/08/2020

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

11/19/2020