License holder summary

Edgar H Ballenas is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Edgar H Ballenas is 50 Pinehills Drive Suite 411, Plymouth 02360. This licensed professional license is current. The license was granted 09/20/1989 and expired on 10/26/2017.

Massachusetts

Division of Professional Licensure

Edgar H Ballenas
Board Of Registration In Medicine
License number
71683
Date granted
09/20/1989
Date expires
10/26/2017
Class
Board Of Registration In Medicine
Status
Active
Address
50 Pinehills Drive Suite 411
licensingma.org
ID 41410989
LAST UPDATED 2024-04-23 06:52:29 UTC

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