LISA ELIZABETH VIANNA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131513

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

ELIZABETH

Last Name

VIANNA

Business Name

LISA ELIZABETH VIANNA DO

Original Issue Date

09/26/2012

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

GARDEN CITY

State

Zip

11530

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/30/2023