VIVIANE MG BISHAY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055710

License Status

EXPIRED

Business

First Name

VIVIANE

Middle

Last Name

BISHAY

Suffix

Business Name

VIVIANE MG BISHAY MD

Original Issue Date

06/15/2009

Effective Date

06/15/2009

Expiration Date

06/14/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012