JOHN ALFRED VAILLANCOURT MD - Medical Doctor License in California | # 036039494

JOHN ALFRED VAILLANCOURT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039494

License Status

INACTIVE

Business

N

First Name

JOHN ALFRED

Last Name

VAILLANCOURT

Suffix

MD

Business Name

JOHN ALFRED VAILLANCOURT MD

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006