ITAY YONA VARDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048812

License Status

EXPIRED

Business

First Name

ITAY

Middle

YONA

Last Name

VARDI

Suffix

Business Name

ITAY YONA VARDI MD

Original Issue Date

09/13/2004

Effective Date

09/13/2004

Expiration Date

09/12/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology-Endourology Fellowship

Ever Disciplined

LastModifiedDate

09/22/2006