VALERIE A FLACCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

VALERIE A

Last Name

FLACCO

Suffix

Business Name

VALERIE A FLACCO MD

Original Issue Date

03/25/1996

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2024

Case Number

2023000634

Action

Suspension

Discipline Start Date

10/01/2024

Discipline End Date

10/31/2024