VIVIEN EISENBERG Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078304

License Status

INACTIVE

Business

First Name

VIVIEN

Last Name

EISENBERG

Business Name

VIVIEN EISENBERG

Original Issue Date

12/31/1988

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

04/24/2023