ALEJANDRO JOSUE VALLADARES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEJANDRO

Middle

JOSUE

Last Name

VALLADARES

Business Name

ALEJANDRO JOSUE VALLADARES DDS

Original Issue Date

10/03/2017

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025