RENY VARGHESE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042201

License Status

EXPIRED

Business

First Name

RENY

Last Name

VARGHESE

Suffix

Business Name

RENY VARGHESE MD

Original Issue Date

01/01/2001

Effective Date

01/01/2001

Expiration Date

12/31/2003

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006