JORGE MARTIN BALAGUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

JORGE

Middle

MARTIN

Last Name

BALAGUER

Business Name

JORGE MARTIN BALAGUER MD

Original Issue Date

11/05/2014

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021