SUDARSHAN H BALLAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

SUDARSHAN H

Last Name

BALLAL

Suffix

Business Name

SUDARSHAN H BALLAL MD

Original Issue Date

11/28/1984

Effective Date

11/28/1984

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006