CARMELITA T VILLANUEVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051816

License Status

ACTIVE

Business

First Name

CARMELITA T

Last Name

VILLANUEVA

Suffix

Business Name

CARMELITA T VILLANUEVA MD

Original Issue Date

08/15/1975

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

07/16/2023