CARLOS E VILLAVICENCIO - Medical Doctor License in North Carolina | # 036103432

CARLOS E VILLAVICENCIO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103432

License Status

NOT RENEWED

Business

N

First Name

CARLOS

Middle

E

Last Name

VILLAVICENCIO

Business Name

CARLOS E VILLAVICENCIO

Original Issue Date

09/08/2000

Effective Date

09/08/2000

Expiration Date

07/31/2005

State

NC

Ever Disciplined

N

LastModifiedDate

10/09/2006