VIVIAN A ILLERA MD - Medical Doctor License in Nebraska | # 036071032

VIVIAN A ILLERA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071032

License Status

INACTIVE

Business

N

First Name

VIVIAN A

Last Name

ILLERA

Suffix

MD

Business Name

VIVIAN A ILLERA MD

Original Issue Date

06/27/1985

Effective Date

06/27/1985

Expiration Date

07/31/1990

State

NE

Ever Disciplined

N

LastModifiedDate

09/20/2006