BARBARA E BALABAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

Title

First Name

BARBARA

Middle

Last Name

BALABAS

Business Name

BARBARA E BALABAS OD

Original Issue Date

06/29/2009

Effective Date

06/29/2009

Expiration Date

03/31/2010

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010