ISIDOROS FOTIOS VARDAROS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058988

License Status

CANCELLED

Business

Title

First Name

ISIDOROS

Middle

FOTIOS

Last Name

VARDAROS

Business Name

ISIDOROS FOTIOS VARDAROS MD

Original Issue Date

10/01/2010

Effective Date

10/01/2010

Expiration Date

09/30/2013

City

QUINCY

State

Zip

62301

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/01/2010