Brant Michael Balthazor

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****12

Status

Expired (Inoperative)

First issued

July 8, 2015

Expired

March 1, 2022

License holder

Brant Michael Balthazor

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Current term began

01/15/2020

Other Illinois licenses under this name

• IL
  Brant Michael Balthazor

  License 085005469

  Licensed Physician Assistant
  Inactive

  Saukville, WI

  Expired Mar 1, 2022

Contact