JOSE BALLESTEROS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073129

License Status

NOT RENEWED

Business

First Name

JOSE

Last Name

BALLESTEROS

Suffix

Business Name

JOSE BALLESTEROS MD

Original Issue Date

07/11/1986

Effective Date

07/11/1986

Expiration Date

07/31/1999

City

MADISONVILLE

State

Zip

42431

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006