VIVIAN LAURA EDEN SZYMCZUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149756

License Status

NOT RENEWED

Business

Title

First Name

VIVIAN

Middle

LAURA EDEN

Last Name

SZYMCZUK

Business Name

VIVIAN LAURA EDEN SZYMCZUK MD

Original Issue Date

06/15/2019

Effective Date

04/20/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61616

Ever Disciplined

LastModifiedDate

11/30/2023