WELLINGTON F BALLESTEROS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018943

License Status

EXPIRED

Business

First Name

WELLINGTON F

Last Name

BALLESTEROS

Suffix

Business Name

WELLINGTON F BALLESTEROS MD

Original Issue Date

07/30/1985

Effective Date

07/30/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006