THOMAS D VILLALOBOS 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

THOMAS D

Last Name

VILLALOBOS JR

Suffix

Business Name

THOMAS D VILLALOBOS JR MD

Original Issue Date

09/29/1986

Effective Date

09/29/1986

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61110

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006