MASSARAT A BALA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

MASSARAT A

Last Name

BALA

Business Name

MASSARAT A BALA

Original Issue Date

10/20/1995

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023