Christopher W Ballard MD

Licensed Physician Controlled Substance

Illinois  336071667   Canceled

This Illinois license was held by Christopher W Ballard MD. The license is no longer active. It was granted on 03/23/2004 and expired on 07/31/2011

LICENSE DETAILS

  • License Number: 336071667
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
  • Status: Canceled
  • Date Granted: 03/23/2004 (about 20 years ago)
  • Expiry Date: 07/31/2011 (over 12 years ago)

LOCATIONS

A Address

Albion, IL 62806-1006