HECTOR LOPEZ BALLESTEROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044565

License Status

NOT RENEWED

Business

First Name

HECTOR LOPEZ

Last Name

BALLESTEROS

Suffix

Business Name

HECTOR LOPEZ BALLESTEROS MD

Original Issue Date

01/01/1997

City

PHOENIX

State

Zip

85021

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006