ELPIDIA H BALBASTRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

ELPIDIA H

Last Name

BALBASTRO

Suffix

Business Name

ELPIDIA H BALBASTRO MD

Original Issue Date

07/25/1995

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

ABILENE

State

Zip

79603

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021