JOSEPH MICHAEL CORVALLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JOSEPH MICHAEL

Last Name

CORVALLIS

Suffix

Business Name

JOSEPH MICHAEL CORVALLIS MD

Original Issue Date

09/25/1981

Effective Date

09/25/2020

Expiration Date

07/31/2023

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023