Indiana
Professional Licensing Agency
Christian Lee Ballast
Controlled Substance Registration - Physician
License number
01038703B
Date granted
08/01/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Major Hospital Attn: Administration, 150 W. Washington St., Shelbyville IN 46176
indianalicensing.org
ID 5919120
LAST UPDATED 2024-05-06 15:50:51 UTC
LAST UPDATED 2024-05-06 15:50:51 UTC
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