ELBA MARITZA VILLAVICENCIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131538

License Status

ACTIVE

Business

Title

First Name

ELBA

Middle

MARITZA

Last Name

VILLAVICENCIO

Business Name

ELBA MARITZA VILLAVICENCIO MD

Original Issue Date

10/03/2012

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2023