CARMEN V VILLABONA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045448

License Status

EXPIRED

Business

First Name

CARMEN

Middle

Last Name

VILLABONA

Business Name

CARMEN V VILLABONA

Original Issue Date

10/21/2002

Effective Date

10/21/2002

Expiration Date

10/20/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006