RAYMOND A VILLAVERDE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

Last Name

VILLAVERDE

Business Name

RAYMOND A VILLAVERDE

Original Issue Date

03/16/2001

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

ELGIN

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

01/11/2016