VICENTE L VILLA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048150

License Status

NOT RENEWED

Business

First Name

VICENTE L

Last Name

VILLA JR

Suffix

Business Name

VICENTE L VILLA JR MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006