JULIO LARA-VALLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045262

License Status

NOT RENEWED

Business

First Name

JULIO

Last Name

LARA-VALLE

Suffix

Business Name

JULIO LARA-VALLE MD

Original Issue Date

02/04/1972

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021