CARLA MAYELA VILLARREAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074453

License Status

CANCELLED

Business

Title

First Name

CARLA

Middle

MAYELA

Last Name

VILLARREAL

Business Name

CARLA MAYELA VILLARREAL MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/22/2022