Brant Michael Balthazor

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005469

Status

Inactive

First issued

May 27, 2015

Expired

March 1, 2022

License holder

Brant Michael Balthazor

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

01/15/2020

Other Illinois licenses under this name

• IL
  Brant Michael Balthazor

  License 38*****12

  Physician Assistant Controlled Substance
  Expired

  Kankakee, IL

  Expired Mar 1, 2022

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