PETER G BALLAS II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116911

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

BALLAS

Suffix

II MD

Business Name

PETER G BALLAS II MD

Original Issue Date

09/13/2006

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017