SIBI VARGHESE IPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004021

License Status

NOT RENEWED

Business

First Name

SIBI

Middle

VARGHESE

Last Name

IPE

Business Name

SIBI VARGHESE IPE

Original Issue Date

04/06/2011

Effective Date

01/10/2014

Expiration Date

03/01/2016

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016