CAROL BRYAN BALLOU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

CAROL BRYAN

Last Name

BALLOU

Suffix

Business Name

CAROL BRYAN BALLOU MD

Original Issue Date

01/01/1997

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023