OMAR MIJAEL VILLARROEL FERNANDEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

MIJAEL

Last Name

VILLARROEL FERNANDEZ

Business Name

OMAR MIJAEL VILLARROEL FERNANDEZ MD

Original Issue Date

10/18/2007

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

VALPARAISO

State

Zip

46383

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2023