KELLY J VALLAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

Last Name

VALLAR

Business Name

KELLY J VALLAR MD

Original Issue Date

01/02/2018

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023