MONETTE S BALITE LACAP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039862

License Status

EXPIRED

Business

First Name

MONETTE

Middle

Last Name

BALITE LACAP

Business Name

MONETTE S BALITE LACAP

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

06/24/2002

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006