NATALI MARIAN BALOG MD - Medical Doctor License in Kentucky | # 036109231

NATALI MARIAN BALOG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109231

License Status

NOT RENEWED

Business

N

First Name

NATALI

Middle

MARIAN

Last Name

BALOG

Suffix

MD

Business Name

NATALI MARIAN BALOG MD

Original Issue Date

05/13/2003

Effective Date

05/13/2003

Expiration Date

07/31/2005

State

KY

Ever Disciplined

N

LastModifiedDate

10/09/2006