DARRELL M BALLINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

DARRELL M

Last Name

BALLINGER

Suffix

Business Name

DARRELL M BALLINGER MD

Original Issue Date

06/24/1986

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021