JOHN MICHAEL BALLESTER MD - Medical Doctor License in Pennsylvania | # 036100207

JOHN MICHAEL BALLESTER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100207

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

MICHAEL

Last Name

BALLESTER

Suffix

MD

Business Name

JOHN MICHAEL BALLESTER MD

Original Issue Date

05/12/1999

Effective Date

05/12/1999

Expiration Date

07/31/2002

State

PA

Ever Disciplined

N

LastModifiedDate

10/09/2006