ISIDOROS FOTIOS VARDAROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

ISIDOROS

Middle

FOTIOS

Last Name

VARDAROS

Business Name

ISIDOROS FOTIOS VARDAROS MD

Original Issue Date

04/18/2013

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023