HUMBERTO VERGARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

HUMBERTO

Last Name

VERGARA

Suffix

Business Name

HUMBERTO VERGARA MD

Original Issue Date

12/19/1985

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021