JOSE LUIS VALLADARES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

JOSE LUIS

Last Name

VALLADARES

Suffix

Business Name

JOSE LUIS VALLADARES MD

Original Issue Date

08/25/1997

Effective Date

10/28/2008

Expiration Date

07/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011