Information as of 09/30/2020

Last Updated by Licensee on 01/29/2020

Lizette Santos Villacorte - MD Full and Unrestricted
License#: 
Issue Date: 
200301186
08/27/2003
License Status: 
Renewal Date:
Active  
02/02/2021  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 200301186 08/27/2003 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 1941Temporary08/27/200310/06/2003
Active Supervisee
SuperviseeTypeStatusApproval Date
BLALOCK, JENNIFER NPActive02/05/2020
Klahn, Vern Allen PAActive02/09/2011
Richardson, Lorenzo Nebraska PAActive03/01/2011
Roberts, Vikki May PAActive01/31/2019
SHOEMAKER, BARBARA NPActive07/28/2019
Sipple, David Kirt PAActive09/01/2020
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
New York
Out of Country Active/Inactive Licenses
Philippines