CHRISTOPHER W BALLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110162

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

Last Name

BALLARD

Suffix

Business Name

CHRISTOPHER W BALLARD MD

Original Issue Date

09/22/2003

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

04/26/2023