JAMES WARNER BALLARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008145

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

WARNER

Last Name

BALLARD

Business Name

JAMES WARNER BALLARD

Original Issue Date

01/22/2021

Effective Date

01/22/2021

Expiration Date

03/01/2022

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022