EDILIA M VIVANCO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085395

License Status

INACTIVE

Business

First Name

EDILIA M

Last Name

VIVANCO

Business Name

EDILIA M VIVANCO

Original Issue Date

09/24/1992

Effective Date

09/24/1992

Expiration Date

07/31/2002

City

MIAMI

State

Zip

33134

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006