MELISSA ANN BALLENGEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

BALLENGEE

Business Name

MELISSA ANN BALLENGEE MD

Original Issue Date

02/18/2014

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023