JORGE A VALLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

JORGE A

Last Name

VALLE

Suffix

Business Name

JORGE A VALLE MD

Original Issue Date

05/30/1984

Effective Date

05/30/1984

Expiration Date

07/31/2005

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006