Gary Lee Ballard
Medical - Physician
Colorado 14824 Active
This Colorado license is held by Gary Lee Ballard. The license is currently active. It was granted on 07/14/1964 and expired on 04/30/2015
LICENSE DETAILS
- License Number: 14824
- Category: Physician
- Status: Active
- Date Granted: 07/14/1964 (almost 62 years ago)
- Expiry Date: 04/30/2015 (about 11 years ago)
LOCATIONS
A Address
2740 West Lake Mendocino Drive, Ukiah, CA, 95482-5482
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