RAUL VILLASUSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046657

License Status

NOT RENEWED

Business

First Name

RAUL

Last Name

VILLASUSO

Suffix

Business Name

RAUL VILLASUSO MD

Original Issue Date

11/16/1972

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

MEDINAH

State

Zip

60157

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023