STEPHEN DU BALA 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

STEPHEN DU

Last Name

BALA

Suffix

Business Name

STEPHEN DU BALA MD

Original Issue Date

01/01/1997

Effective Date

09/02/2008

Expiration Date

07/31/2011

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/11/2017