ROMEO A VIVIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044908

License Status

NOT RENEWED

Business

First Name

ROMEO A

Last Name

VIVIT

Suffix

Business Name

ROMEO A VIVIT MD

Original Issue Date

10/08/1971

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

ROSEBUD

State

Zip

57570

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

11/17/2014