IGNACIO DELVALLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

IGNACIO

Last Name

DELVALLE

Suffix

Business Name

IGNACIO DELVALLE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/12/2017