IAN C BALFOUR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

IAN C

Last Name

BALFOUR

Business Name

IAN C BALFOUR

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011