SUSAN C BALLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100944

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

BALLIS

Suffix

Business Name

SUSAN C BALLIS MD

Original Issue Date

08/09/1999

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

04/06/2023