JAIME VILLANUEVA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033018

License Status

CANCELLED

Business

First Name

JAIME

Last Name

VILLANUEVA

Suffix

Business Name

JAIME VILLANUEVA MD

Original Issue Date

06/05/1995

Effective Date

06/05/1995

Expiration Date

06/21/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006