ERNESTO B BAELLO JR MD 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

ERNESTO B

Last Name

BAELLO JR

Suffix

Business Name

ERNESTO B BAELLO JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017