IMELDA P VILLAROSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

IMELDA P

Last Name

VILLAROSA

Suffix

Business Name

IMELDA P VILLAROSA MD

Original Issue Date

04/04/1995

Effective Date

04/04/1995

Expiration Date

07/31/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/09/2006