ANGELA C RICAURTE VALLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062432

License Status

EXPIRED

Business

Title

First Name

ANGELA

Middle

Last Name

RICAURTE VALLE

Business Name

ANGELA C RICAURTE VALLE MD

Original Issue Date

07/11/2012

Effective Date

07/11/2012

Expiration Date

07/10/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015