PAUL BALTER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****55

NOT RENEWED

N

PAUL

BALTER

MD

PAUL BALTER MD

01/01/1997

05/01/2017

09/30/2020

OAK BROOK

IL

60523

DUPAGE

II III IV V

N

01/14/2021