PEDRO ANTONIO HERMIDA DE VIVEIROS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073481

License Status

CANCELLED

Business

Title

First Name

PEDRO

Middle

ANTONIO

Last Name

HERMIDA DE VIVEIROS

Business Name

PEDRO ANTONIO HERMIDA DE VIVEIROS MD

Original Issue Date

02/01/2019

Effective Date

02/01/2019

Expiration Date

04/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Developmental Therapeutics

Ever Disciplined

LastModifiedDate

02/23/2021