GREGORY JOHN BALMFORTH MD - Medical Doctor License in Illinois | # 125042379

GREGORY JOHN BALMFORTH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042379

License Status

EXPIRED

Business

N

First Name

GREGORY

Middle

JOHN

Last Name

BALMFORTH

Suffix

MD

Business Name

GREGORY JOHN BALMFORTH MD

Original Issue Date

06/23/2001

Effective Date

06/23/2001

Expiration Date

06/22/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006