ROBERTA ANDERSON BALLARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040625

License Status

NOT RENEWED

Business

First Name

ROBERTA ANDERSON

Last Name

BALLARD

Suffix

Business Name

ROBERTA ANDERSON BALLARD MD

Original Issue Date

08/31/1966

Effective Date

08/31/1966

City

MILL VALLEY

State

Zip

94941

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006