ANNA LISA BALLARD DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****04

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/19/2024