KRISTEN L BALLARD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015401

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

BALLARD

Business Name

KRISTEN L BALLARD

BusinessDBA

SMITH

Original Issue Date

11/02/2006

Effective Date

07/14/2008

Expiration Date

09/30/2010

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2010