VICTORIA DIANE VIVEEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007475

License Status

ACTIVE

Business

First Name

VICTORIA

Middle

DIANE

Last Name

VIVEEN

Business Name

VICTORIA DIANE VIVEEN

Original Issue Date

01/02/2020

Effective Date

12/07/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/07/2025