SEAN PHILLIP ZIVIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056154

License Status

CANCELLED

Business

Title

First Name

SEAN

Middle

PHILLIP

Last Name

ZIVIN

Business Name

SEAN PHILLIP ZIVIN MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

ARLINGTON HEIGHTS

State

Zip

60005

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/03/2010