MARY JANE BALADAD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095690

License Status

ACTIVE

Business

Title

First Name

MARY JANE

Last Name

BALADAD

Business Name

MARY JANE BALADAD DO

Original Issue Date

06/20/1997

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MUNSTER

State

Zip

46321

Ever Disciplined

LastModifiedDate

04/13/2023