GONZALO R BALLONLANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057360

License Status

NOT RENEWED

Business

First Name

GONZALO R

Last Name

BALLONLANDA

Suffix

Business Name

GONZALO R BALLONLANDA MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006