MICHAEL JAMES RALLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MICHAEL JAMES

Last Name

RALLO

Suffix

Business Name

MICHAEL JAMES RALLO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006