COURTNEY RAE VIRGILIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122136

License Status

NOT RENEWED

Business

Title

First Name

COURTNEY

Middle

RAE

Last Name

VIRGILIO

Business Name

COURTNEY RAE VIRGILIO MD

Original Issue Date

10/28/2008

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

BEND

State

Zip

97703

Ever Disciplined

LastModifiedDate

01/14/2021