BROOKE N BALLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113224

License Status

ACTIVE

Business

Title

First Name

BROOKE

Middle

Last Name

BALLARD

Business Name

BROOKE N BALLARD MD

Original Issue Date

03/08/2005

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

04/28/2023