JOSHUA BALLARD PEAD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050325

License Status

EXPIRED

Business

First Name

JOSHUA

Middle

BALLARD

Last Name

PEAD

Suffix

Business Name

JOSHUA BALLARD PEAD DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

09/22/2006