MELISSA RENE BALBUENA-ROOT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158314

License Status

ACTIVE

Business

Title

First Name

MELISSA

Middle

RENE

Last Name

BALBUENA-ROOT

Business Name

MELISSA RENE BALBUENA-ROOT MD

Original Issue Date

09/19/2021

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

85381

Ever Disciplined

LastModifiedDate

06/09/2023