CLAUDIA LORENA VERGARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057037

License Status

CANCELLED

Business

Title

First Name

CLAUDIA

Middle

LORENA

Last Name

VERGARA

Business Name

CLAUDIA LORENA VERGARA MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/22/2009