RICHARD K DELVALLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

RICHARD K

Last Name

DELVALLE

Suffix

Business Name

RICHARD K DELVALLE MD

Original Issue Date

01/19/1988

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023