F M VILLANUEVA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045023

License Status

NOT RENEWED

Business

First Name

F M

Last Name

VILLANUEVA JR

Suffix

Business Name

F M VILLANUEVA JR MD

Original Issue Date

11/24/1971

Effective Date

11/24/1971

Expiration Date

07/31/1993

City

ABINGDON

State

Zip

61410

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/20/2006