WELLINGTON F BALLESTEROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073890

License Status

NOT RENEWED

Business

First Name

WELLINGTON F

Last Name

BALLESTEROS

Suffix

Business Name

WELLINGTON F BALLESTEROS MD

Original Issue Date

10/03/1986

Effective Date

10/03/1986

Expiration Date

07/31/1990

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006