JEFFREY THOMAS RALLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

THOMAS

Last Name

RALLO

Business Name

JEFFREY THOMAS RALLO MD

Original Issue Date

10/29/2014

Effective Date

10/29/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63104

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017