ANITA BALODIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

ANITA

Last Name

BALODIS

Suffix

Business Name

ANITA BALODIS MD

Original Issue Date

08/05/2002

Effective Date

08/05/2002

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017