OMAR ARTURO VARGAS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048097

License Status

CANCELLED

Business

First Name

OMAR

Middle

ARTURO

Last Name

VARGAS

Business Name

OMAR ARTURO VARGAS

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006