ROUMEN D BALABANOV MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040088

License Status

CANCELLED

Business

First Name

ROUMEN

Middle

Last Name

BALABANOV

Suffix

Business Name

ROUMEN D BALABANOV MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006