JOHN ALFRED VAILLANCOURT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039494

License Status

INACTIVE

Business

First Name

JOHN ALFRED

Last Name

VAILLANCOURT

Suffix

Business Name

JOHN ALFRED VAILLANCOURT MD

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

07/31/1987

City

SAN FRANCISCO

State

Zip

94131

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006