JOSE LUIS VALLADARES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096247

License Status

NOT RENEWED

Business

First Name

JOSE LUIS

Last Name

VALLADARES

Suffix

Business Name

JOSE LUIS VALLADARES MD

Original Issue Date

07/31/1997

Effective Date

10/22/2008

Expiration Date

07/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

11/14/2011