MARK TIMOTHY VILLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042619

License Status

EXPIRED

Business

First Name

MARK

Middle

TIMOTHY

Last Name

VILLA

Suffix

Business Name

MARK TIMOTHY VILLA MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006