VIVIEN EISENBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021611

License Status

EXPIRED

Business

First Name

VIVIEN

Last Name

EISENBERG

Business Name

VIVIEN EISENBERG

Original Issue Date

07/20/1987

Effective Date

07/20/1987

Expiration Date

09/01/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006