VIVIEN T HO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

VIVIEN

Middle

Last Name

Business Name

VIVIEN T HO

Original Issue Date

08/20/2007

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020