ROBERT BALLARD JOHN - Dentist License in Illinois | # 137000109

ROBERT BALLARD JOHN

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000109

License Status

INACTIVE

Business

N

First Name

ROBERT BALLARD

Last Name

JOHN

Business Name

ROBERT BALLARD JOHN

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/17/2005