MARK E VALLIERE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

VALLIERE

Suffix

Business Name

MARK E VALLIERE MD

Original Issue Date

04/15/1986

Effective Date

04/15/1986

Expiration Date

07/31/2008

City

ROCK ISLAND

State

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008