UNDINE JULIANE VALLEJOS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

UNDINE

Middle

JULIANE

Last Name

VALLEJOS

Suffix

Business Name

UNDINE JULIANE VALLEJOS DO

Original Issue Date

06/25/2008

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2023