DONALD JEFFERY EBALO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035635

License Status

NOT RENEWED

Business

First Name

DONALD JEFFERY

Last Name

EBALO

Suffix

Business Name

DONALD JEFFERY EBALO MD

Original Issue Date

01/01/1997

Effective Date

05/30/2014

Expiration Date

07/31/2017

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017