VERGENA PATRICIA MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

VERGENA PATRICIA

Last Name

MONTGOMERY

Suffix

Business Name

VERGENA PATRICIA MONTGOMERY MD

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

07/31/1999

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006