MARSHALL J BALES MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****65

NOT RENEWED

N

MARSHALL J

BALES

MD

MARSHALL J BALES MD

07/13/1989

07/13/1989

07/31/1993

NORTH CHICAGO

IL

60064

LAKE

II

N

09/26/2006