IVELISSE VARGAS JON Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****44

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

GREENFIELD

State

Zip

53220

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025