JOHAN JOSEPH VALLE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074838

License Status

CANCELLED

Business

Title

First Name

JOHAN

Middle

JOSEPH

Last Name

VALLE

Business Name

JOHAN JOSEPH VALLE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/11/2019