MARIA ELOIDA BALLELOS BERNABE
Licensed Physician Controlled Substance
Illinois 336051284 Canceled
This Illinois license was held by MARIA ELOIDA BALLELOS BERNABE. The license is no longer active. It was granted on 10/25/1994 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336051284
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 10/25/1994 (over 29 years ago)
- Expiry Date: 07/31/2005 (almost 19 years ago)
LOCATIONS
A Address
ELK GROVE VILLAGE, IL 60007