KARINA LA'O VIVAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069790

License Status

CANCELLED

Business

Title

First Name

KARINA

Middle

LA'O

Last Name

VIVAR

Business Name

KARINA LA'O VIVAR MD

Original Issue Date

07/07/2017

Effective Date

07/07/2017

Expiration Date

07/06/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Dermatology

Ever Disciplined

LastModifiedDate

03/28/2018