RAUL VILLASUSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

RAUL

Last Name

VILLASUSO

Suffix

Business Name

RAUL VILLASUSO MD

Original Issue Date

01/01/1997

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021