LAURA ANN BALLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000281

License Status

NOT RENEWED

Business

First Name

LAURA ANN

Last Name

BALLA

Business Name

LAURA ANN BALLA

Original Issue Date

01/08/1985

Effective Date

01/08/1985

Expiration Date

03/01/1986

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006