VISUIT VIVEKAPHIRAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065586

License Status

NOT RENEWED

Business

First Name

VISUIT

Last Name

VIVEKAPHIRAT

Suffix

Business Name

VISUIT VIVEKAPHIRAT MD

Original Issue Date

10/29/1982

Effective Date

10/29/1982

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2001004462

Action

Suspension

Discipline Start Date

01/13/2003

Discipline Reason

Failed to respond to a request for information from the Department in a timely manner.