JOSUE VILLALTA MD - Medical Doctor License in Indiana | # 036060336

JOSUE VILLALTA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060336

License Status

INACTIVE

Business

N

First Name

JOSUE

Last Name

VILLALTA

Suffix

MD

Business Name

JOSUE VILLALTA MD

Original Issue Date

05/16/1980

Effective Date

05/16/1980

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006