BAXTER BALLANTINE ALLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151105

License Status

ACTIVE

Business

Title

First Name

BAXTER

Middle

BALLANTINE

Last Name

ALLEN

Business Name

BAXTER BALLANTINE ALLEN MD

Original Issue Date

10/29/2019

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

GREENWOOD VILLAGE

State

Zip

80111

Ever Disciplined

LastModifiedDate

10/21/2024