VIVIEN EISENBERG Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

INACTIVE

Business

First Name

VIVIEN

Last Name

EISENBERG

Business Name

VIVIEN EISENBERG

Original Issue Date

08/17/1992

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023