RALPH VILLARAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111376

License Status

NOT RENEWED

Business

First Name

RALPH

Last Name

VILLARAN

Business Name

RALPH VILLARAN

Original Issue Date

05/20/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008