HERMAN VERGARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039533

License Status

NOT RENEWED

Business

First Name

HERMAN

Last Name

VERGARA

Suffix

Business Name

HERMAN VERGARA MD

Original Issue Date

01/29/1965

Effective Date

01/29/1965

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006