NEILL VALDES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046768

License Status

INACTIVE

Business

First Name

NEILL

Last Name

VALDES

Suffix

Business Name

NEILL VALDES MD

Original Issue Date

01/23/1973

Effective Date

01/23/1973

Expiration Date

07/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006