GENE ALAN BALIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041981

License Status

NOT RENEWED

Business

First Name

GENE ALAN

Last Name

BALIS

Suffix

Business Name

GENE ALAN BALIS MD

Original Issue Date

08/01/1968

Effective Date

08/01/1968

City

APO SAN FRANCISCO

State

Zip

96383

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006