AMY COENE BALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

AMY COENE

Last Name

BALES

Suffix

Business Name

AMY COENE BALES MD

Original Issue Date

03/02/1994

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017