VANESSA LEE RALLIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070527

License Status

EXPIRED

Business

Title

First Name

VANESSA

Middle

LEE

Last Name

RALLIS

Business Name

VANESSA LEE RALLIS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020