RAYMOND R BALLECER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

RAYMOND R

Last Name

BALLECER

Suffix

Business Name

RAYMOND R BALLECER MD

Original Issue Date

04/05/1989

Effective Date

04/05/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006