LYNDSEY NICOLE BALLOU - Physician Assistant License in Missouri | # 085005312

LYNDSEY NICOLE BALLOU

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005312

License Status

NOT RENEWED

Business

N

First Name

LYNDSEY

Middle

NICOLE

Last Name

BALLOU

Business Name

LYNDSEY NICOLE BALLOU

Original Issue Date

10/10/2014

Effective Date

10/10/2014

Expiration Date

03/01/2016

State

MO

Ever Disciplined

N

LastModifiedDate

04/25/2016