EDUARDO J VILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

EDUARDO J

Last Name

VILLA

Suffix

Business Name

EDUARDO J VILLA MD

Original Issue Date

04/02/1987

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021