CAROL BALLOU MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617306

License Status

CANCELLED

Business

Business Name

CAROL BALLOU MD SC

Original Issue Date

02/22/2001

Effective Date

02/22/2001

Expiration Date

01/01/2002

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006