JONATHAN T BALAGNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156415

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

Last Name

BALAGNA

Business Name

JONATHAN T BALAGNA MD

Original Issue Date

04/05/2021

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

04/17/2023