CAROL L WILLIS MD - Medical Doctor License in Virginia | # 036141840

CAROL L WILLIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141840

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CAROL

Middle

L

Last Name

WILLIS

Business Name

CAROL L WILLIS MD

Original Issue Date

10/13/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

State

VA

Ever Disciplined

N

LastModifiedDate

01/14/2021