RAFAEL H VILLAROSA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

RAFAEL H

Last Name

VILLAROSA JR

Suffix

Business Name

RAFAEL H VILLAROSA JR MD

Original Issue Date

10/17/1994

Effective Date

10/17/1994

Expiration Date

07/31/2002

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006