JUAN M VILLARREAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067916

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

VILLARREAL

Suffix

Business Name

JUAN M VILLARREAL MD

Original Issue Date

11/07/1983

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

BOWLING GREEN

State

Zip

42104

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/01/2017