EUGENE M VILLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028882

License Status

EXPIRED

Business

First Name

EUGENE M

Last Name

VILLA

Suffix

Business Name

EUGENE M VILLA MD

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006