JORGE L VILLACORTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033655

License Status

EXPIRED

Business

First Name

JORGE L

Last Name

VILLACORTA

Business Name

JORGE L VILLACORTA

Original Issue Date

06/28/1995

Effective Date

06/28/1995

Expiration Date

06/30/1998

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006