Idaho
Division of Occupational and Professional Licenses
DAVID JAY BALLINGHAM
Board Of Medicine
License number
PA-1281
Date granted
09/01/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2920 NAOMI DR NORTH LOGAN UT 84341
idaholicensing.com
ID 48335752
LAST UPDATED 2026-04-18 02:04:16 UTC
LAST UPDATED 2026-04-18 02:04:16 UTC
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