ANICIA P VILLAFRIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

ANICIA P

Last Name

VILLAFRIA

Suffix

Business Name

ANICIA P VILLAFRIA MD

Original Issue Date

09/23/1988

Effective Date

09/23/1988

Expiration Date

07/31/1996

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006