CHRISTINE MARIE VILLOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

VILLOCH

Suffix

Business Name

CHRISTINE MARIE VILLOCH MD

Original Issue Date

10/17/2003

Effective Date

08/07/2018

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021