JONATHAN HARTLEY BALLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

HARTLEY

Last Name

BALLARD

Suffix

Business Name

JONATHAN HARTLEY BALLARD MD

Original Issue Date

05/03/2006

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023