ERNESTO VIZCARRA ESTOR JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120810

License Status

NOT RENEWED

Business

First Name

ERNESTO

Middle

VIZCARRA

Last Name

ESTOR

Suffix

Business Name

ERNESTO VIZCARRA ESTOR JR

Original Issue Date

05/07/2008

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2019

Case Number

2016007811

Action

Probation

Discipline Reason

license restored to indefinite probation w/restrictions for a minimum of five years; eff upon payment of fees and filing of forms.