JULIA MARGARITA ZEVALLOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JULIA

Middle

MARGARITA

Last Name

ZEVALLOS

Suffix

Business Name

JULIA MARGARITA ZEVALLOS MD

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006