TERRY J BALAGNA 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

TERRY J

Last Name

BALAGNA

Suffix

Business Name

TERRY J BALAGNA MD

Original Issue Date

11/13/1986

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023