VIVIAN B BILASANO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096412

License Status

INACTIVE

Business

First Name

VIVIAN

Middle

Last Name

BILASANO

Suffix

Business Name

VIVIAN B BILASANO MD

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

07/31/1999

City

NORTH MIAMI

State

Zip

33181

Ever Disciplined

LastModifiedDate

09/20/2006