License holder summary

Jose Raul Sia Villavicencio is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jose Raul Sia Villavicencio is PO Box 92529, Orlando, FL 32859-2529. This doctor license is not current. The license was granted 11/23/1996 and expired on 01/31/1998.

Department of Safety and Professional Services

Board of Medical Practice

Jose Raul Sia Villavicencio
Medical - Physician And Surgeon
License number
39451
Date granted
11/23/1996
Date expires
01/31/1998
Class
Medical - Physician And Surgeon
Status
Canceled
Address
PO Box 92529, Orlando, FL 32859-2529
doctorsminnesota.org
ID 22325277
LAST UPDATED 2024-01-24 12:23:14 UTC

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