JOSE S BALLESTEROS JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060458

License Status

INACTIVE

Business

Title

First Name

JOSE S

Last Name

BALLESTEROS JR

Suffix

Business Name

JOSE S BALLESTEROS JR MD

Original Issue Date

06/26/1980

Effective Date

06/26/1980

Expiration Date

07/31/1987

City

LAMIRADA

State

Zip

90638

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006