RONALD DELA VILLAREAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050365

License Status

CANCELLED

Business

First Name

RONALD

Middle

DELA

Last Name

VILLAREAL

Suffix

Business Name

RONALD DELA VILLAREAL MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006