| | Physician Last Name: | Balaklaw |
| | Physician First Name: | Lee |
| | Physician Middle Name: | Adam |
| | Address: | 1057 Meadowbrook Lane
Louisa, KY 41230 |
| | License Number: | 166887 |
| | License Type: | MD |
| | Year of Birth: |
1955
|
| | Effective Date: | 08/12/2013 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been convicted in the Circuit Court of the Commonwealth of Kentucky, Lawrence County of theft by deception. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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