FRED S BALLARD Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001856

License Status

INACTIVE

Business

First Name

FRED S

Last Name

BALLARD

Business Name

FRED S BALLARD

Original Issue Date

07/03/1947

Effective Date

07/03/1947

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006