DANIEL S BALLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069187

License Status

NOT RENEWED

Business

First Name

DANIEL S

Last Name

BALLIN

Suffix

Business Name

DANIEL S BALLIN MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006