Phillip Ault Ballard JR
Medical - Physician
Colorado 17192 Expired
This Colorado license was held by Phillip Ault Ballard JR. The license is no longer active. It was granted on 10/12/1971 and expired on 05/31/2001
LICENSE DETAILS
- License Number: 17192
- Category: Physician
- Status: Expired
- Date Granted: 10/12/1971 (over 52 years ago)
- Expiry Date: 05/31/2001 (about 23 years ago)
LOCATIONS
A Address
3226 C PORTAGE BAY PL. EAST, SEATTLE, WA, 98102-8102