EDWARD CHARLES VILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

EDWARD

Middle

CHARLES

Last Name

VILLA

Business Name

EDWARD CHARLES VILLA MD

Original Issue Date

02/23/2015

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023