KRISTINA BALANGUE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123062

License Status

INACTIVE

Business

Title

First Name

KRISTINA

Last Name

BALANGUE

Business Name

KRISTINA BALANGUE MD

Original Issue Date

04/06/2009

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

FARMINGTON

State

Zip

87402

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

04/08/2014