JOSE RAUL VILLAVICENCIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092928

License Status

NOT RENEWED

Business

First Name

JOSE RAUL

Last Name

VILLAVICENCIO

Suffix

Business Name

JOSE RAUL VILLAVICENCIO MD

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

07/31/1999

City

SUGARLAND

State

Zip

77478

County

TEXAS

Ever Disciplined

LastModifiedDate

05/17/2013

Case Number

2013001932

Action

Refuse To Renew

Discipline Start Date

05/10/2013

Discipline Reason

after being disciplined by the state of Ohio.