ROBERT PAUL DELLAVALLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034931

License Status

EXPIRED

Business

First Name

ROBERT PAUL

Last Name

DELLAVALLE

Business Name

ROBERT PAUL DELLAVALLE

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

06/23/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006