ROBERT WILLIAM BALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

WILLIAM

Last Name

BALES

Suffix

Business Name

ROBERT WILLIAM BALES MD

Original Issue Date

07/15/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011