ANICIA P VILLAFRIA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076572

License Status

INACTIVE

Business

First Name

ANICIA P

Last Name

VILLAFRIA

Suffix

Business Name

ANICIA P VILLAFRIA MD

Original Issue Date

01/13/1988

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

08/05/2008