JORGE A BALAREZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046670

License Status

NOT RENEWED

Business

First Name

JORGE A

Last Name

BALAREZO

Suffix

Business Name

JORGE A BALAREZO MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

09/20/2006