PEDRO WILFRIDO VIVAR CRUZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135875

License Status

NOT RENEWED

Business

Title

First Name

PEDRO

Middle

WILFRIDO

Last Name

VIVAR CRUZ

Business Name

PEDRO WILFRIDO VIVAR CRUZ MD

Original Issue Date

07/10/2014

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

WICHITA

State

Zip

67215

County

KANSAS

Ever Disciplined

LastModifiedDate

11/01/2017