TANYA HUERTA VARGAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

TANYA

Middle

HUERTA

Last Name

VARGAS

Business Name

TANYA HUERTA VARGAS MD

Original Issue Date

10/02/2015

Effective Date

08/06/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023