MARIANI DEL VALLE SALAZAR LEON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

MARIANI

Middle

DEL VALLE

Last Name

SALAZAR LEON

Business Name

MARIANI DEL VALLE SALAZAR LEON MD

Original Issue Date

03/04/2021

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023