DEWEY PHILIP BALLARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

DEWEY

Middle

PHILIP

Last Name

BALLARD

Business Name

DEWEY PHILIP BALLARD MD

Original Issue Date

10/23/2006

Effective Date

10/23/2006

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011