OMAR MIJAEL VILLARROEL FERNANDEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117065

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

MIJAEL

Last Name

VILLARROEL FERNANDEZ

Business Name

OMAR MIJAEL VILLARROEL FERNANDEZ MD

Original Issue Date

10/18/2006

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

VALPARAISO

State

Zip

46383

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/30/2023