RONIE VARDY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

RONIE

Last Name

VARDY

Business Name

RONIE VARDY

Original Issue Date

12/01/2020

Effective Date

02/04/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60661

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025