VIVIAN A LOMBILLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000683

License Status

EXPIRED

Business

First Name

VIVIAN

Middle

Last Name

LOMBILLO

Suffix

Business Name

VIVIAN A LOMBILLO MD

Original Issue Date

04/10/2006

Effective Date

04/10/2006

Expiration Date

05/09/2006

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/25/2006