Indiana
Professional Licensing Agency
James Logan Ballard
Controlled Substance Registration - Dentist
License number
12006916B
Date granted
05/08/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1702 A Street, La Porte IN 46350
indianalicensing.org
ID 5107123
LAST UPDATED 2024-03-27 14:35:44 UTC
LAST UPDATED 2024-03-27 14:35:44 UTC
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