VIVIANA SOFIA BARQUET PIZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162714

License Status

NOT RENEWED

Business

Title

First Name

VIVIANA

Middle

SOFIA

Last Name

BARQUET PIZA

Business Name

VIVIANA SOFIA BARQUET PIZA MD

Original Issue Date

10/26/2022

Effective Date

10/26/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

11/30/2023