BARI A PARKS-BALLARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

BARI A

Last Name

PARKS-BALLARD

Business Name

BARI A PARKS-BALLARD

Original Issue Date

10/18/1999

Effective Date

10/18/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020