DIMITRINA GEORGIEVA VIZINAS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061120

License Status

CANCELLED

Business

Title

First Name

DIMITRINA

Middle

GEORGIEVA

Last Name

VIZINAS

Business Name

DIMITRINA GEORGIEVA VIZINAS DO

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014