KEZIAH MAE AKUT VARGAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

KEZIAH MAE

Middle

AKUT

Last Name

VARGAS

Business Name

KEZIAH MAE AKUT VARGAS MD

Original Issue Date

04/01/2022

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023