HECTOR NIETO ZEVALLOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

HECTOR NIETO

Last Name

ZEVALLOS

Suffix

Business Name

HECTOR NIETO ZEVALLOS MD

Original Issue Date

08/12/1981

Effective Date

08/12/1981

Expiration Date

07/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006