GLEN C BALCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118605

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

Last Name

BALCH

Suffix

Business Name

GLEN C BALCH MD

Original Issue Date

06/04/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011