DANIEL ALEXANDER BALUCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

ALEXANDER

Last Name

BALUCH

Suffix

Business Name

DANIEL ALEXANDER BALUCH MD

Original Issue Date

08/11/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021