DARRELL M BALLINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

DARRELL M

Last Name

BALLINGER

Suffix

Business Name

DARRELL M BALLINGER MD

Original Issue Date

07/16/1990

Effective Date

07/16/1990

Expiration Date

07/31/1993

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020