LUIS S VILELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115072

License Status

ACTIVE

Business

First Name

LUIS

Middle

Last Name

VILELLA

Suffix

Business Name

LUIS S VILELLA MD

Original Issue Date

01/06/2006

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

BISMARCK

State

Zip

58502

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

07/25/2023