MICHAEL J DAVALLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

MICHAEL J

Last Name

DAVALLE

Suffix

Business Name

MICHAEL J DAVALLE MD

Original Issue Date

06/08/1983

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023