SALVADOR A VIVIT MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

INOPERATIVE

Business

First Name

SALVADOR A

Last Name

VIVIT

Suffix

Business Name

SALVADOR A VIVIT MD

Original Issue Date

12/21/1981

Effective Date

12/21/1981

Expiration Date

07/31/1999

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006