PETER MICHAEL VILA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

MICHAEL

Last Name

VILA

Business Name

PETER MICHAEL VILA MD

Original Issue Date

04/19/2019

Effective Date

04/19/2019

Expiration Date

09/30/2020

City

GREENBRAE

State

Zip

94904

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021