SUSANA VILLATE PRIETO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152683

License Status

ACTIVE

Business

Title

First Name

SUSANA

Last Name

VILLATE PRIETO

Business Name

SUSANA VILLATE PRIETO MD

Original Issue Date

04/22/2020

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

NORFOLK

State

Zip

23505

Ever Disciplined

LastModifiedDate

05/29/2023