EDWARD G VIVIT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

EDWARD G

Last Name

VIVIT

Suffix

DDS

Business Name

EDWARD G VIVIT DDS

Original Issue Date

03/12/1991

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024