ANTHONY MICHAEL VERGIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

MICHAEL

Last Name

VERGIS

Business Name

ANTHONY MICHAEL VERGIS MD

Original Issue Date

09/15/2017

Effective Date

09/15/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021