PRAKASH VARGHESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

PRAKASH

Last Name

VARGHESE

Suffix

Business Name

PRAKASH VARGHESE MD

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

07/31/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020