NATALI MARIAN BALOG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109231

License Status

NOT RENEWED

Business

First Name

NATALI

Middle

MARIAN

Last Name

BALOG

Suffix

Business Name

NATALI MARIAN BALOG MD

Original Issue Date

05/13/2003

Effective Date

05/13/2003

Expiration Date

07/31/2005

City

LEXINGTON

State

Zip

40511

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/09/2006