KRISTEN L BALLARD - Physical Therapist License in Illinois | # 070015401

KRISTEN L BALLARD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015401

License Status

NOT RENEWED

Business

N

First Name

KRISTEN

Middle

L

Last Name

BALLARD

Business Name

KRISTEN L BALLARD

BusinessDBA

SMITH

Original Issue Date

11/02/2006

Effective Date

07/14/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2010