License holder summary

MARK BALLARD is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARK BALLARD is 1300 STATE STREET, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

MARK BALLARD
Controlled Substance Registration - Physician
License number
01029404B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1300 STATE STREET, LAPORTE IN 46350
indianalicensing.org
ID 5878265
LAST UPDATED 2024-03-29 23:57:10 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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