PEDRO ESEO BALLEZA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058444

License Status

INACTIVE

Business

First Name

PEDRO ESEO

Last Name

BALLEZA

Suffix

Business Name

PEDRO ESEO BALLEZA MD

Original Issue Date

03/16/1979

Effective Date

03/16/1979

Expiration Date

07/31/1999

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2006