CHRISTOPHER W BALLARD MD - Medical Doctor License in Illinois | # 188000120

CHRISTOPHER W BALLARD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000120

License Status

EXPIRED

Business

N

First Name

CHRISTOPHER

Middle

W

Last Name

BALLARD

Suffix

MD

Business Name

CHRISTOPHER W BALLARD MD

Original Issue Date

01/04/1999

Effective Date

01/04/1999

Expiration Date

01/31/1999

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/25/2006