The holder whose full name is BALLARD, JOHN ELLSWORTH,come from SAN ANGELO TX,hold the Physician license(NO.01015542A) which status is Expired Non-Renewable.
| Name | BALLARD, JOHN ELLSWORTH |
|---|---|
| License Number | 01015542A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | SAN ANGELO |
| State | TX |