MICHAEL BALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036020735

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

BALLIN

Suffix

Business Name

MICHAEL BALLIN MD

Original Issue Date

06/01/1935

Effective Date

06/01/1935

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006