RUDOLPH WILLIAM VARESKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

RUDOLPH

Middle

WILLIAM

Last Name

VARESKO

Suffix

Business Name

RUDOLPH WILLIAM VARESKO MD

Original Issue Date

07/26/2013

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017