DOUGLAS ARNOLD BALLAN MD - Medical Doctor License in New York | # 036135793

DOUGLAS ARNOLD BALLAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135793

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DOUGLAS

Middle

ARNOLD

Last Name

BALLAN

Business Name

DOUGLAS ARNOLD BALLAN MD

Original Issue Date

07/03/2014

Effective Date

07/03/2014

Expiration Date

07/31/2017

State

NY

Ever Disciplined

N

LastModifiedDate

11/01/2017