JAMES WARNER BALLARD - Physician Assistant License in Illinois | # 085008145

JAMES WARNER BALLARD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008145

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

WARNER

Last Name

BALLARD

Business Name

JAMES WARNER BALLARD

Original Issue Date

01/22/2021

Effective Date

01/22/2021

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022