HUMBERTO VERGARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072013

License Status

NOT RENEWED

Business

First Name

HUMBERTO

Last Name

VERGARA

Suffix

Business Name

HUMBERTO VERGARA MD

Original Issue Date

11/22/1985

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021