License holder summary

PHILLIP AULT BALLARD JR is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for PHILLIP AULT BALLARD JR is SAN-JOSE CA 95218. This medical practitioner license is not current. The license was granted 11/30/1981 and expired on 12/31/1982.

Department of State

Board of Medicine

PHILLIP AULT BALLARD JR
Medical Physician And Surgeon
License number
MD026199E
Date granted
11/30/1981
Date expires
12/31/1982
Class
Medical Physician And Surgeon
Status
Inactive
Address
SAN-JOSE CA 95218
medicinepa.com
ID 37586347
LAST UPDATED 2024-03-19 06:23:48 UTC

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