KEVIN SEAN BALLARD Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000916

License Status

ACTIVE

Business

First Name

KEVIN

Middle

SEAN

Last Name

BALLARD

Business Name

KEVIN SEAN BALLARD

Original Issue Date

10/29/1999

Effective Date

10/14/2025

Expiration Date

10/31/2027

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/14/2025