PAUL RICHARD BALASH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056378

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

RICHARD

Last Name

BALASH

Business Name

PAUL RICHARD BALASH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/15/2009