ANNA LISA BALLARD DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006088

License Status

ACTIVE

Business

Title

DPM

First Name

ANNA

Middle

LISA

Last Name

BALLARD

Business Name

ANNA LISA BALLARD DPM

Original Issue Date

12/19/2024

Effective Date

12/19/2024

Expiration Date

01/31/2027

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

12/19/2024