EVELYN E EBALO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081746

License Status

INACTIVE

Business

First Name

EVELYN E

Last Name

EBALO

Suffix

Business Name

EVELYN E EBALO MD

Original Issue Date

10/30/1990

Effective Date

10/30/1990

Expiration Date

07/31/2002

City

OLYMPIA

State

Zip

98502

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006