JUAN M VILLARREAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

VILLARREAL

Suffix

Business Name

JUAN M VILLARREAL MD

Original Issue Date

12/05/1983

Effective Date

12/05/1983

Expiration Date

07/31/1993

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017