TANYA HUERTA VARGAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138821

License Status

NOT RENEWED

Business

Title

First Name

TANYA

Middle

HUERTA

Last Name

VARGAS

Business Name

TANYA HUERTA VARGAS MD

Original Issue Date

07/30/2015

Effective Date

08/06/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/30/2023