CARMEN V VILLABONA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

Last Name

VILLABONA

Business Name

CARMEN V VILLABONA

Original Issue Date

12/19/2005

Effective Date

12/19/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011