BENJAMIN S BALTASAR MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004258

License Status

NOT RENEWED

Business

Business Name

BENJAMIN S BALTASAR MD SC

Original Issue Date

10/08/1980

Effective Date

10/08/1980

Expiration Date

01/01/2006

City

EAST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

10/09/2006