Samuel Jackson Balin
ExpiredCalifornia license A123273
License
- Licensed by
- Medical Board of California
- License number
- A123273
- Status
- Expired (Delinquent)
- First issued
- October 17, 2012
- Expired
- February 29, 2024
- License holder
- Samuel Jackson Balin
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1007 Harlow Rd
Springfield, OR 97477-7124
Springfield, OR 97477-7124
Lane County