FRED S BALLARD - Podiatrist License in Illinois | # 016001856

FRED S BALLARD

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001856

License Status

INACTIVE

Business

N

First Name

FRED S

Last Name

BALLARD

Business Name

FRED S BALLARD

Original Issue Date

07/03/1947

Effective Date

07/03/1947

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006