DOUG THOMAS VALASSIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

DOUG

Middle

THOMAS

Last Name

VALASSIS

Business Name

DOUG THOMAS VALASSIS MD

Original Issue Date

12/30/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023