ANICIA P VILLAFRIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

ANICIA P

Last Name

VILLAFRIA

Suffix

Business Name

ANICIA P VILLAFRIA MD

Original Issue Date

06/21/1993

Effective Date

06/21/1993

Expiration Date

07/31/2008

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008