VALINDA PATRICE ALLEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

INACTIVE

Business

First Name

VALINDA

Middle

PATRICE

Last Name

ALLEN

Suffix

Business Name

VALINDA PATRICE ALLEN MD

Original Issue Date

03/13/2007

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2020