ANICIA P VILLAFRIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

ANICIA P

Last Name

VILLAFRIA

Suffix

Business Name

ANICIA P VILLAFRIA MD

Original Issue Date

08/15/2003

Effective Date

08/15/2003

Expiration Date

07/31/2005

City

MILFORD

State

Zip

60953

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006