MELISSA ANN BALLENGEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134580

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

BALLENGEE

Business Name

MELISSA ANN BALLENGEE MD

Original Issue Date

02/18/2014

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

11/30/2023