Department of Safety and Professional Services
Board of Medical Practice
Mark Ballow
Medical - Physician And Surgeon
License number
20156
Date granted
02/18/1972
Date expires
12/31/1976
Class
Medical - Physician And Surgeon
Status
Canceled
Address
92 Lovely St., Avon, CT 06001
doctorsminnesota.org
ID 22157239
LAST UPDATED 2024-03-09 15:11:39 UTC
LAST UPDATED 2024-03-09 15:11:39 UTC
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