DANIEL J VERGARA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073080

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

Last Name

VERGARA

Business Name

DANIEL J VERGARA DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

10/11/2022