TESSA BALACH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049255

License Status

EXPIRED

Business

First Name

TESSA

Last Name

BALACH

Suffix

Business Name

TESSA BALACH MD

Original Issue Date

08/01/2010

Effective Date

08/01/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Musculoskeletal Oncology

Ever Disciplined

LastModifiedDate

09/30/2011