MARTHA LEONOR VILLALBA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041178

License Status

EXPIRED

Business

Title

First Name

MARTHA

Middle

LEONOR

Last Name

VILLALBA

Business Name

MARTHA LEONOR VILLALBA MD

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

06/25/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006