License holder summary

MARK WILSON BALLES is a Physician licensed to practice in Indiana. The address on file for MARK WILSON BALLES is PORTLAND ME 04102. This licensed professional license is not current. The license was granted 02/23/1994 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

MARK WILSON BALLES
Physician
License number
01042207A
Date granted
02/23/1994
Date expires
06/30/1997
Class
Physician
Status
Expired Non-Renewable
Address
PORTLAND ME 04102
indianalicensing.org
ID 6094430
LAST UPDATED 2026-04-16 23:48:39 UTC

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