LAURA VILLAVICENCIO BRIZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152847

License Status

ACTIVE

Business

Title

First Name

LAURA

Middle

VILLAVICENCIO

Last Name

BRIZ

Business Name

LAURA VILLAVICENCIO BRIZ MD

Original Issue Date

05/05/2020

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2023