MARK BALLARD
Physician
Indiana 01029404A Expired Non-Renewable
This Indiana license was held by MARK BALLARD. The license is no longer active. It was granted on 08/14/1979 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01029404A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 08/14/1979 (over 45 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
LAPORTE IN 46350