VIVIAN HAILAM DIEP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

VIVIAN

Middle

HAILAM

Last Name

DIEP

Business Name

VIVIAN HAILAM DIEP MD

Original Issue Date

07/19/2023

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

LITTLE ROCK

State

Zip

72211

County

PULASKI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023