CHRISTOPHER W BALLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

Last Name

BALLARD

Suffix

Business Name

CHRISTOPHER W BALLARD MD

Original Issue Date

03/23/2004

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023