MARTHA LEONOR VILLALBA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

MARTHA

Middle

LEONOR

Last Name

VILLALBA

Business Name

MARTHA LEONOR VILLALBA MD

Original Issue Date

01/05/2017

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021