Ricky James Ballou
Controlled Substance Registration - Physician
Indiana 01040544C Expired
This Indiana license was held by Ricky James Ballou. The license is no longer active. It was granted on 07/30/1992 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01040544C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/30/1992 (almost 34 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
2227 SHERMAN DRIVE, Princeton IN 47670