HEATHER ANN BALLARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050794

License Status

EXPIRED

Business

Title

First Name

HEATHER

Middle

ANN

Last Name

BALLARD

Business Name

HEATHER ANN BALLARD MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

GLENVIEW

State

Zip

60025

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009