ALEXANDRA BALABANOV DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075977

License Status

CANCELLED

Business

Title

First Name

ALEXANDRA

Last Name

BALABANOV

Business Name

ALEXANDRA BALABANOV DO

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2024

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

05/04/2023