EUGENE LEE BALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058154

License Status

NOT RENEWED

Business

First Name

EUGENE LEE

Last Name

BALTER

Suffix

Business Name

EUGENE LEE BALTER MD

Original Issue Date

11/20/1978

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008