OSWALDO BALLESTEROS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038242

License Status

INACTIVE

Business

First Name

OSWALDO

Last Name

BALLESTEROS

Suffix

Business Name

OSWALDO BALLESTEROS MD

Original Issue Date

12/05/1962

Effective Date

12/05/1962

Expiration Date

07/31/2002

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006