ALFREDO OVALLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

ALFREDO

Last Name

OVALLE

Suffix

Business Name

ALFREDO OVALLE MD

Original Issue Date

08/07/2003

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014