PEDRO WILFRIDO VIVAR CRUZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058768

License Status

CANCELLED

Business

Title

First Name

PEDRO

Middle

WILFRIDO

Last Name

VIVAR CRUZ

Business Name

PEDRO WILFRIDO VIVAR CRUZ MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

03/24/2014