JUANITO T BALADAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

JUANITO T

Last Name

BALADAD

Suffix

Business Name

JUANITO T BALADAD MD

Original Issue Date

09/25/1984

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/25/2023