SIBI VARGHESE IPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

NOT RENEWED

Business

First Name

SIBI

Middle

VARGHESE

Last Name

IPE

Business Name

SIBI VARGHESE IPE

Original Issue Date

08/12/2011

Effective Date

01/10/2014

Expiration Date

03/01/2016

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016