DIEGO COLE VILLACIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139529

License Status

ACTIVE

Business

Title

First Name

DIEGO

Middle

COLE

Last Name

VILLACIS

Business Name

DIEGO COLE VILLACIS MD

Original Issue Date

12/28/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/06/2023