VIVIENNE J KATTAPONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022758

License Status

EXPIRED

Business

First Name

VIVIENNE

Middle

Last Name

KATTAPONG

Business Name

VIVIENNE J KATTAPONG

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

06/23/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006