ELIZABETH ANN KVALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

KVALE

Suffix

Business Name

ELIZABETH ANN KVALE MD

Original Issue Date

10/29/1997

Effective Date

10/29/1997

Expiration Date

07/31/2002

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006