RENUKA P BALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

RENUKA P

Last Name

BALE

Suffix

Business Name

RENUKA P BALE MD

Original Issue Date

04/25/1983

Effective Date

04/25/1983

Expiration Date

07/31/1996

City

MARENGO

State

Zip

60152

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006