RYAN JOSEPH VALLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007529

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

JOSEPH

Last Name

VALLO

Business Name

RYAN JOSEPH VALLO

Original Issue Date

01/28/2020

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

FESTUS

State

Zip

63028

Ever Disciplined

LastModifiedDate

02/05/2025