DONALD JEFFERY EBALO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

INACTIVE

Business

First Name

DONALD JEFFERY

Last Name

EBALO

Suffix

Business Name

DONALD JEFFERY EBALO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017