REMEDIOS LAVILLA JAVIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

REMEDIOS LAVILLA

Last Name

JAVIER

Suffix

Business Name

REMEDIOS LAVILLA JAVIER MD

Original Issue Date

07/09/2008

Effective Date

07/09/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017