DOUGLAS ARNOLD BALLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135793

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

ARNOLD

Last Name

BALLAN

Business Name

DOUGLAS ARNOLD BALLAN MD

Original Issue Date

07/03/2014

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

OAKDALE

State

Zip

11769

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017