Phillip Ward Ballard
Medical - Physician And Surgeon
Minnesota 20421 Canceled
This Minnesota license was held by Phillip Ward Ballard. The license is no longer active. It was granted on 08/04/1972 and expired on 12/31/1981
LICENSE DETAILS
- License Number: 20421
- Category: Physician and Surgeon
- Status: Canceled
- Date Granted: 08/04/1972 (almost 54 years ago)
- Expiry Date: 12/31/1981 (over 44 years ago)
LOCATIONS
A Address
35 W Midado Rd, Colorado Springs, CO 80919