LINU VARUGHESE SAMUEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138805

License Status

NOT RENEWED

Business

Title

First Name

LINU

Middle

VARUGHESE

Last Name

SAMUEL

Business Name

LINU VARUGHESE SAMUEL MD

Original Issue Date

07/28/2015

Effective Date

07/28/2015

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017