DEWEY PHILIP BALLARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117078

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

07/28/2008

Expiration Date

07/31/2011

City

CARL JUNCTION

State

Zip

64834

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011