KRISTINE LEANNE VALLRUGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

LEANNE

Last Name

VALLRUGO

Suffix

Business Name

KRISTINE LEANNE VALLRUGO MD

Original Issue Date

08/13/2002

Effective Date

08/03/2017

Expiration Date

09/30/2020

City

SARASOTA

State

Zip

34236

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021