RACHEL M BALLARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063617

License Status

NOT RENEWED

Business

First Name

RACHEL M

Last Name

BALLARD

Suffix

Business Name

RACHEL M BALLARD MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006