IMELDA D DE VILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162126

License Status

ACTIVE

Business

Title

First Name

IMELDA

Middle

Last Name

DE VILLA

Business Name

IMELDA D DE VILLA MD

Original Issue Date

08/23/2022

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

UNIVERSITY PLACE

State

Zip

98467

Ever Disciplined

LastModifiedDate

07/28/2023