ELLA VLAD VARNEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045227

License Status

CANCELLED

Business

First Name

ELLA

Middle

VLAD

Last Name

VARNEY

Suffix

Business Name

ELLA VLAD VARNEY MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006