JACOB PETER VERGHESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056347

License Status

NOT RENEWED

Business

First Name

JACOB PETER

Last Name

VERGHESE

Suffix

Business Name

JACOB PETER VERGHESE MD

Original Issue Date

01/19/1978

Effective Date

01/19/1978

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006