MARIA ELOIDA BALLELOS BERNABE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

MARIA ELOIDA

Last Name

BALLELOS BERNABE

Business Name

MARIA ELOIDA BALLELOS BERNABE

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

07/31/2005

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006