PEDRO ANTONIO HERMIDA DE VIVEIROS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

PEDRO

Middle

ANTONIO

Last Name

HERMIDA DE VIVEIROS

Business Name

PEDRO ANTONIO HERMIDA DE VIVEIROS MD

Original Issue Date

06/28/2021

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023