RYAN JOSEPH VALLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

JOSEPH

Last Name

VALLO

Business Name

RYAN JOSEPH VALLO

Original Issue Date

03/23/2020

Effective Date

04/01/2020

Expiration Date

03/01/2022

City

FESTUS

State

Zip

63028

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022