DAVID SALOMON BALLESTAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012716

License Status

EXPIRED

Business

First Name

DAVID SALOMON

Last Name

BALLESTAS

Suffix

Business Name

DAVID SALOMON BALLESTAS MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006