KELLY J VALLAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144868

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

Last Name

VALLAR

Business Name

KELLY J VALLAR MD

Original Issue Date

01/02/2018

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

Ever Disciplined

LastModifiedDate

05/19/2023