BALJIT S DEOL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

BALJIT S

Last Name

DEOL

Business Name

BALJIT S DEOL

Original Issue Date

10/19/2006

Effective Date

07/02/2008

Expiration Date

07/31/2011

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

11/10/2011