JONATHAN LEWIS BALLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

LEWIS

Last Name

BALLON

Suffix

Business Name

JONATHAN LEWIS BALLON MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011