JAMES MARTIN BALLIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129184

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

MARTIN

Last Name

BALLIRO

Business Name

JAMES MARTIN BALLIRO MD

Original Issue Date

11/04/2011

Effective Date

11/04/2011

Expiration Date

07/31/2014

City

JACKSON

State

Zip

83002

County

WYOMING

Ever Disciplined

LastModifiedDate

11/17/2014