COURTNEY RAE VIRGILIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

COURTNEY

Middle

RAE

Last Name

VIRGILIO

Business Name

COURTNEY RAE VIRGILIO MD

Original Issue Date

05/09/2018

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

BEND

State

Zip

97703

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021