HEATHER ANN BALLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

HEATHER

Middle

ANN

Last Name

BALLARD

Business Name

HEATHER ANN BALLARD MD

Original Issue Date

04/09/2013

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023