JENNIFER CLAIR VILLAVICENCIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

CLAIR

Last Name

VILLAVICENCIO

Business Name

JENNIFER CLAIR VILLAVICENCIO MD

Original Issue Date

04/03/2025

Effective Date

04/03/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/03/2025