DAVID A BALLING MD - Medical Doctor License in Wisconsin | # 33*****44

DAVID A BALLING MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

N

First Name

DAVID A

Last Name

BALLING

Suffix

MD

Business Name

DAVID A BALLING MD

Original Issue Date

01/01/1997

Effective Date

04/11/2017

Expiration Date

09/30/2020

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/14/2021