ATHENA VILLASENO TAYLAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031005

License Status

EXPIRED

Business

First Name

ATHENA VILLASENO

Last Name

TAYLAN

Suffix

Business Name

ATHENA VILLASENO TAYLAN MD

Original Issue Date

05/09/1994

Effective Date

05/09/1994

Expiration Date

06/22/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006