MERCEDITAS S VILLANUEVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019050

License Status

EXPIRED

Business

First Name

MERCEDITAS

Middle

Last Name

VILLANUEVA

Business Name

MERCEDITAS S VILLANUEVA

Original Issue Date

10/28/1985

Effective Date

10/28/1985

Expiration Date

10/10/1988

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006