VIVIAN HAILAM DIEP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166004

License Status

ACTIVE

Business

Title

First Name

VIVIAN

Middle

HAILAM

Last Name

DIEP

Business Name

VIVIAN HAILAM DIEP MD

Original Issue Date

07/19/2023

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023