MARK E VALLIERE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072391

License Status

INACTIVE

Business

First Name

MARK E

Last Name

VALLIERE

Suffix

Business Name

MARK E VALLIERE MD

Original Issue Date

03/13/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CEDAR RAPIDS

State

Zip

52403

Ever Disciplined

LastModifiedDate

05/28/2008