PAUL BALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

PAUL

Last Name

BALTER

Suffix

Business Name

PAUL BALTER MD

Original Issue Date

01/23/2004

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021