CARMEN V VILLABONA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114469

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

Last Name

VILLABONA

Business Name

CARMEN V VILLABONA

Original Issue Date

08/23/2005

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014