MARY JANE BALADAD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034385

License Status

EXPIRED

Business

Title

First Name

MARY JANE

Last Name

BALADAD

Business Name

MARY JANE BALADAD DO

Original Issue Date

05/16/1996

Effective Date

05/16/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006