GREGORY T BALES Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

GREGORY T

Last Name

BALES

Business Name

GREGORY T BALES

Original Issue Date

07/21/1995

Effective Date

08/24/2023

Expiration Date

07/31/2026

City

MUNSTER

State

Zip

46321

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2023