OMAR MIJAEL VILLARROEL FERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044788

License Status

EXPIRED

Business

Title

First Name

OMAR

Middle

MIJAEL

Last Name

VILLARROEL FERNANDEZ

Business Name

OMAR MIJAEL VILLARROEL FERNANDEZ MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006