WILFREDO I VERGARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

WILFREDO I

Last Name

VERGARA

Suffix

Business Name

WILFREDO I VERGARA MD

Original Issue Date

08/24/1994

Effective Date

08/24/1994

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020