CHRISTOPHER W BALLARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000120

License Status

EXPIRED

Business

First Name

CHRISTOPHER

Middle

Last Name

BALLARD

Suffix

Business Name

CHRISTOPHER W BALLARD MD

Original Issue Date

01/04/1999

Effective Date

01/04/1999

Expiration Date

01/31/1999

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006