The holder whose full name is BALLINGER, ANNE T,come from Sierra Vista AZ,hold the Physician license(NO.01044041A) which status is Inactive/Expired.
| Name | BALLINGER, ANNE T |
|---|---|
| License Number | 01044041A |
| License Type | Physician |
| License Status | Inactive/Expired |
| City | Sierra Vista |
| State | AZ |