VIVIAN A ILLERA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071032

License Status

INACTIVE

Business

First Name

VIVIAN A

Last Name

ILLERA

Suffix

Business Name

VIVIAN A ILLERA MD

Original Issue Date

06/27/1985

Effective Date

06/27/1985

Expiration Date

07/31/1990

City

OMAHA

State

Zip

68134

County

NEBRASKA

Ever Disciplined

LastModifiedDate

09/20/2006