MELBA I OVALLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

MELBA

Middle

Last Name

OVALLE

Business Name

MELBA I OVALLE MD

Original Issue Date

10/15/1991

Effective Date

08/07/2023

Expiration Date

07/31/2026

City

WINDERMERE

State

Zip

34786

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2023