SUDARSHAN H BALLAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068370

License Status

NOT RENEWED

Business

First Name

SUDARSHAN H

Last Name

BALLAL

Suffix

Business Name

SUDARSHAN H BALLAL MD

Original Issue Date

03/12/1984

Effective Date

03/12/1984

Expiration Date

07/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006