MIRASOL D VILLAFLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

MIRASOL D

Last Name

VILLAFLOR

Suffix

Business Name

MIRASOL D VILLAFLOR MD

Original Issue Date

10/25/1984

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011