PREETHY ELIZABETH VARGHESE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

PREETHY

Middle

ELIZABETH

Last Name

VARGHESE

Business Name

PREETHY ELIZABETH VARGHESE

Original Issue Date

03/29/2017

Effective Date

01/09/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022