LESZEK J BALLARIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103966

License Status

ACTIVE

Business

First Name

LESZEK

Middle

Last Name

BALLARIN

Business Name

LESZEK J BALLARIN

Original Issue Date

12/28/2000

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2023