LEE A BALAKLAW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085937

License Status

NOT RENEWED

Business

First Name

LEE A

Last Name

BALAKLAW

Suffix

Business Name

LEE A BALAKLAW MD

Original Issue Date

04/01/1993

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

LOUISA

State

Zip

41230

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2011011183

Action

Suspension

Discipline Start Date

08/30/2013

Discipline Reason

due to a plea of guilty to ten misdemeanor counts of theft by deception.