JOSE LUIS VALLE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOSE

Middle

LUIS

Last Name

VALLE

Business Name

JOSE LUIS VALLE DDS

Original Issue Date

10/09/1996

Effective Date

10/09/1996

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005