VIVIAN LAURA EDEN SZYMCZUK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069117

License Status

CANCELLED

Business

Title

First Name

VIVIAN

Middle

LAURA EDEN

Last Name

SZYMCZUK

Business Name

VIVIAN LAURA EDEN SZYMCZUK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/03/2018