JENNIFER MORGAN BALASH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056489

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

MORGAN

Last Name

BALASH

Business Name

JENNIFER MORGAN BALASH MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/29/2012