JOSE K VILLEGAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

JOSE K

Last Name

VILLEGAS

Suffix

Business Name

JOSE K VILLEGAS MD

Original Issue Date

01/01/1997

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017