GREGORY JOHN BALMFORTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042379

License Status

EXPIRED

Business

First Name

GREGORY

Middle

JOHN

Last Name

BALMFORTH

Suffix

Business Name

GREGORY JOHN BALMFORTH MD

Original Issue Date

06/23/2001

Effective Date

06/23/2001

Expiration Date

06/22/2002

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006