ANTHONY JOSEPH ANGUILLE-VALLES DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071441

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

JOSEPH

Last Name

ANGUILLE-VALLES

Business Name

ANTHONY JOSEPH ANGUILLE-VALLES DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/20/2017