ROBERT WILLIAM BALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111872

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

WILLIAM

Last Name

BALES

Suffix

Business Name

ROBERT WILLIAM BALES MD

Original Issue Date

07/15/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

11/14/2011