EPIPHANES K BALIAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071629

License Status

INACTIVE

Business

First Name

EPIPHANES K

Last Name

BALIAN

Suffix

Business Name

EPIPHANES K BALIAN MD

Original Issue Date

09/17/1985

Effective Date

09/17/1985

Expiration Date

07/31/1987

City

BANGOR

State

Zip

04401

County

MAINE

Ever Disciplined

LastModifiedDate

09/20/2006