Indiana
Professional Licensing Agency
Jeanne Ellen Ballard
Controlled Substance Registration - Physician
License number
01045341B
Date granted
06/27/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
12400 Pebblepointe Pass, Carmel IN 46033
indianalicensing.org
ID 5830769
LAST UPDATED 2024-03-23 02:23:38 UTC
LAST UPDATED 2024-03-23 02:23:38 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.