LYNDON J VILLASENOR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

LYNDON

Middle

Last Name

VILLASENOR

Business Name

LYNDON J VILLASENOR DO

Original Issue Date

05/10/2013

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023