VIVENCIO R BATTUNG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041260

License Status

INACTIVE

Business

First Name

VIVENCIO R

Last Name

BATTUNG

Suffix

Business Name

VIVENCIO R BATTUNG MD

Original Issue Date

08/07/1967

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2017