PHILOMENA MARY VERGHESE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

PHILOMENA

Middle

MARY

Last Name

VERGHESE

Suffix

Business Name

PHILOMENA MARY VERGHESE MD

Original Issue Date

02/08/2000

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023