DAVID A BALLING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043632

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

BALLING

Suffix

Business Name

DAVID A BALLING MD

Original Issue Date

08/10/1970

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BELGIUM

State

Zip

53004

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021