CARLA MAYELA VILLARREAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

CARLA

Middle

MAYELA

Last Name

VILLARREAL

Business Name

CARLA MAYELA VILLARREAL MD

Original Issue Date

06/07/2022

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023