KAYLA ARLENE BALOUSEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080557

License Status

CANCELLED

Business

Title

First Name

KAYLA

Middle

ARLENE

Last Name

BALOUSEK

Business Name

KAYLA ARLENE BALOUSEK MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/07/2025