ADRIENNE MARTHA BALSAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087777

License Status

ACTIVE

Business

First Name

ADRIENNE

Middle

MARTHA

Last Name

BALSAM

Suffix

Business Name

ADRIENNE MARTHA BALSAM MD

Original Issue Date

11/17/1993

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023