JOSE G ZAVALETA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

JOSE

Middle

Last Name

ZAVALETA

Suffix

Business Name

JOSE G ZAVALETA MD

Original Issue Date

08/17/2007

Effective Date

08/11/2008

Expiration Date

07/31/2011

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011