VICTORIA DIANE VIVEEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

VICTORIA

Middle

DIANE

Last Name

VIVEEN

Business Name

VICTORIA DIANE VIVEEN

Original Issue Date

06/03/2020

Effective Date

12/07/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60609

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/07/2025