ALEJANDRA VALLADOLID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

ALEJANDRA

Last Name

VALLADOLID

Business Name

ALEJANDRA VALLADOLID MD

Original Issue Date

04/01/2014

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46237

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021