FATIMA VILICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

FATIMA

Last Name

VILICH

Suffix

Business Name

FATIMA VILICH MD

Original Issue Date

05/24/2000

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

KAMAS

State

Zip

84036

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020