SARGON AUDISHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

SARGON

Last Name

AUDISHO

Business Name

SARGON AUDISHO MD

Original Issue Date

10/20/2015

Effective Date

10/20/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60655

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020