CARLOS E VILLAVICENCIO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103432

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

Last Name

VILLAVICENCIO

Business Name

CARLOS E VILLAVICENCIO

Original Issue Date

09/08/2000

Effective Date

09/08/2000

Expiration Date

07/31/2005

City

NEW BERN

State

Zip

28562

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006