ANDREA NICOLE GIAMALVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

NICOLE

Last Name

GIAMALVA

Business Name

ANDREA NICOLE GIAMALVA MD

Original Issue Date

08/22/2013

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023