VIVIANA TERESA CABAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106558

License Status

NOT RENEWED

Business

First Name

VIVIANA

Middle

TERESA

Last Name

CABAN

Suffix

Business Name

VIVIANA TERESA CABAN MD

Original Issue Date

03/21/2002

Effective Date

03/21/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006