JOHAN JOSEPH VALLE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158258

License Status

ACTIVE

Business

Title

First Name

JOHAN

Middle

JOSEPH

Last Name

VALLE

Business Name

JOHAN JOSEPH VALLE DO

Original Issue Date

09/10/2021

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023