FERNANDO LUIS VILLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035656

License Status

INACTIVE

Business

First Name

FERNANDO LUIS

Last Name

VILLA

Suffix

Business Name

FERNANDO LUIS VILLA MD

Original Issue Date

03/03/1959

Effective Date

03/03/1959

Expiration Date

07/31/1999

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006