License Directory

Rudolph M Ballentine Jr Md

Expired

Illinois license 036050378

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036050378
Status
Expired (Not Renewed)
First issued
November 26, 1974
Expired
July 31, 1996
License holder
Rudolph M Ballentine Jr Md
Entity type
Individual

Classifications

More from the license record

Current term began
11/26/1974

Contact

Honesdale, PA 18431
Pennsylvania County