MELISSA VILLANUEVA GARCIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054008

License Status

EXPIRED

Business

Title

First Name

MELISSA

Middle

VILLANUEVA

Last Name

GARCIA

Business Name

MELISSA VILLANUEVA GARCIA MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011