GEORGE MICHAEL VALLAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

GEORGE MICHAEL

Last Name

VALLAR

Business Name

GEORGE MICHAEL VALLAR

Original Issue Date

03/11/1983

Effective Date

08/23/2018

Expiration Date

01/31/2022

City

PLEASANT HILL

State

Zip

62366

County

PIKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022