ANNA LISA BALLARD DPM - Podiatrist License in Illinois | # 016006088

ANNA LISA BALLARD DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006088

License Status

ACTIVE

Business

N

Title

DPM

First Name

ANNA

Middle

LISA

Last Name

BALLARD

Business Name

ANNA LISA BALLARD DPM

Original Issue Date

12/19/2024

Effective Date

12/19/2024

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

12/19/2024