THEODORE BALSAM MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006330

License Status

NOT RENEWED

Business

Business Name

THEODORE BALSAM MD SC

Original Issue Date

02/10/1988

Effective Date

02/10/1988

Expiration Date

01/01/1999

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006