License Directory

Dustin Wallace Ballard

Active

California license A81937

License

Licensed by
Medical Board of California
License number
A81937
Status
Active (Current)
First issued
February 14, 2003
Expires
May 31, 2028
License holder
Dustin Wallace Ballard
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

99 Montecillo Rd
San Rafael, CA 94903-3308
Marin County