CHRISTOPHER W BALLARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

Last Name

BALLARD

Suffix

Business Name

CHRISTOPHER W BALLARD MD

Original Issue Date

09/15/2005

Effective Date

07/03/2008

Expiration Date

07/31/2011

City

CARMI

State

Zip

62821

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020