VIVIAN J RENTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085564

License Status

NOT RENEWED

Business

First Name

VIVIAN J

Last Name

RENTA

Suffix

Business Name

VIVIAN J RENTA MD

Original Issue Date

10/29/1992

Effective Date

10/29/1992

Expiration Date

07/31/2005

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006