FERNANDO LUIS VILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

FERNANDO LUIS

Last Name

VILLA

Suffix

Business Name

FERNANDO LUIS VILLA MD

Original Issue Date

04/11/1983

Effective Date

04/11/1983

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006