RICHARD WAYNE BALASA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051062

License Status

NOT RENEWED

Business

First Name

RICHARD WAYNE

Last Name

BALASA

Suffix

Business Name

RICHARD WAYNE BALASA MD

Original Issue Date

06/24/1975

Effective Date

06/24/1975

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006