NOUR E BALTAGI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104530

License Status

NOT RENEWED

Business

First Name

NOUR

Middle

Last Name

BALTAGI

Suffix

Business Name

NOUR E BALTAGI MD

Original Issue Date

04/13/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/14/2011