SEERIN VIVIANE SHATAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126414

License Status

NOT RENEWED

Business

Title

First Name

SEERIN

Middle

VIVIANE

Last Name

SHATAVI

Business Name

SEERIN VIVIANE SHATAVI MD

Original Issue Date

08/05/2010

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

MASON

State

Zip

45040

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021