DAVID SALOMON BALLESTAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065597

License Status

NOT RENEWED

Business

First Name

DAVID SALOMON

Last Name

BALLESTAS

Suffix

Business Name

DAVID SALOMON BALLESTAS MD

Original Issue Date

11/09/1982

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

PORT CHARLOTTE

State

Zip

33952

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017