DEWEY PHILIP BALLARD MD - Medical Doctor License in Missouri | # 036117078

DEWEY PHILIP BALLARD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117078

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DEWEY

Middle

PHILIP

Last Name

BALLARD

Business Name

DEWEY PHILIP BALLARD MD

Original Issue Date

10/23/2006

Effective Date

07/28/2008

Expiration Date

07/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

11/14/2011