License holder summary

LATHA BALLEM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for LATHA BALLEM is North Caldwell NJ 07006. This medical practitioner license is not current. The license was granted 09/08/2006 and expired on 09/23/2007.

Department of State

Board of Medicine

LATHA BALLEM
Graduate Medical Trainee
License number
MT189656
Date granted
09/08/2006
Date expires
09/23/2007
Class
Graduate Medical Trainee
Status
Expired
Address
North Caldwell NJ 07006
medicinepa.com
ID 37520797
LAST UPDATED 2024-05-02 10:15:24 UTC

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