IVELISSE VARGAS JON Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005682

License Status

ACTIVE

Business

First Name

IVELISSE

Last Name

VARGAS JON

Business Name

IVELISSE VARGAS JON

Original Issue Date

08/13/2015

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2024