License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Jose Raul Sia Villavicencio	MD	Internal Medicine Family Practice	Verify Specialty Certification	1909 Dudley Avenue PARKERSBURG, WV (Wood)	AL, FL, GA, IL, IN, KY, LA, MI, OH, TX, VA, WV

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	17719	Revoked by Board	05/09/1994	11/18/2013
DRD	3557	Expired		06/30/2013
TMP	A0330	Expired	03/28/1994	05/09/1994

Education History

School	Date Completed	Nature of Training
College Of Medicine, University Of The Philippines System	04/04/1987	Medical or Podiatric School
Detroit Med Center, Detroit	06/30/1993	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Revocation of License	11/18/2013	Final Order
Yes	Revocation of License	8/20/2014	Court Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/17/2026.