FATIMA VILICH MD - Medical Doctor License in Utah | # 33*****84

FATIMA VILICH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

N

First Name

FATIMA

Last Name

VILICH

Suffix

MD

Business Name

FATIMA VILICH MD

Original Issue Date

05/24/2000

Effective Date

04/21/2014

Expiration Date

07/31/2017

State

UT

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020