ARUN VARGHESE ABRAHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055514

License Status

CANCELLED

Business

Title

First Name

ARUN

Middle

VARGHESE

Last Name

ABRAHAM

Business Name

ARUN VARGHESE ABRAHAM MD

Original Issue Date

07/08/2008

Effective Date

07/08/2008

Expiration Date

07/07/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2008