THOMAS N BALASKAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072546

License Status

NOT RENEWED

Business

First Name

THOMAS N

Last Name

BALASKAS

Suffix

Business Name

THOMAS N BALASKAS MD

Original Issue Date

04/15/1986

Effective Date

04/15/1986

Expiration Date

07/31/1996

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006