DAISY ELIZABETH VARUGHESE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

INACTIVE

Business

Title

DDS

First Name

DAISY

Middle

ELIZABETH

Last Name

VARUGHESE

Business Name

DAISY ELIZABETH VARUGHESE DDS

Original Issue Date

07/19/2018

Effective Date

07/19/2018

Expiration Date

09/30/2021

City

CHICAGO

State

Zip

60632

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2018