WELLINGTON F BALLESTEROS 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

WELLINGTON F

Last Name

BALLESTEROS

Suffix

Business Name

WELLINGTON F BALLESTEROS MD

Original Issue Date

04/28/1989

Effective Date

04/28/1989

Expiration Date

07/31/1990

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006