MARK TIMOTHY VILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116145

License Status

NOT RENEWED

Business

First Name

MARK

Middle

TIMOTHY

Last Name

VILLA

Suffix

Business Name

MARK TIMOTHY VILLA MD

Original Issue Date

06/06/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008