PATRICIA J VALASSIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053084

License Status

CANCELLED

Business

Title

First Name

PATRICIA

Middle

Last Name

VALASSIS

Business Name

PATRICIA J VALASSIS MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/20/2007