License holder summary

Stephen Leroy Ballard is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Stephen Leroy Ballard is 1030 WASHINGTON AVENUE, EVANSVILLE IN 47714. This licensed professional license is not current. The license was granted 11/30/1986 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

Stephen Leroy Ballard
Controlled Substance Registration - Dentist
License number
12008641B
Date granted
11/30/1986
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Revoked
Address
1030 WASHINGTON AVENUE, EVANSVILLE IN 47714
indianalicensing.org
ID 5092910
LAST UPDATED 2023-06-27 13:24:02 UTC

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