VIVIAN W SALAZAR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081456

License Status

ACTIVE

Business

First Name

VIVIAN W

Last Name

SALAZAR

Business Name

VIVIAN W SALAZAR

Original Issue Date

09/15/1990

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/17/2023