IDA ANN VARGHESE DDS - Dentist License in Illinois | # 019031009

IDA ANN VARGHESE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031009

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

IDA

Middle

ANN

Last Name

VARGHESE

Business Name

IDA ANN VARGHESE DDS

Original Issue Date

12/20/2016

Effective Date

09/19/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022