IDA ANN VARGHESE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022