BRETT ALEXANDER BALLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

BRETT

Middle

ALEXANDER

Last Name

BALLARD

Business Name

BRETT ALEXANDER BALLARD MD

Original Issue Date

09/16/2021

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60609

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023