Indiana
Professional Licensing Agency
Ricky James Ballou
Controlled Substance Registration - Physician
License number
01040544C
Date granted
07/30/1992
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2227 SHERMAN DRIVE, Princeton IN 47670
indianalicensing.org
ID 5912188
LAST UPDATED 2026-03-16 06:16:21 UTC
LAST UPDATED 2026-03-16 06:16:21 UTC
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