ANTONIO R VILLAMIL

Idaho  M-4001   Canceled

This Idaho license was held by ANTONIO R VILLAMIL. The license is no longer active. It was granted on 07/20/1979 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: M-4001
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 07/20/1979 (about 47 years ago)
  • Expiry Date: 06/30/2001 (about 25 years ago)

LOCATIONS

A Residential

13525 Moss Rock Dr Auburn CA 95602