JOSE BALLESTEROS MD - Medical Doctor License in Kentucky | # 036073129

JOSE BALLESTEROS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073129

License Status

NOT RENEWED

Business

N

First Name

JOSE

Last Name

BALLESTEROS

Suffix

MD

Business Name

JOSE BALLESTEROS MD

Original Issue Date

07/11/1986

Effective Date

07/11/1986

Expiration Date

07/31/1999

State

KY

Ever Disciplined

N

LastModifiedDate

09/20/2006