MARIA ELOIDA BALLELOS BERNABE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089522

License Status

INACTIVE

Business

First Name

MARIA ELOIDA

Last Name

BALLELOS BERNABE

Business Name

MARIA ELOIDA BALLELOS BERNABE

Original Issue Date

08/25/1994

Effective Date

08/25/1994

Expiration Date

07/31/2005

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006