PAUL CHARLES RIVARD DPM - Podiatrist License in Illinois | # 016003972

PAUL CHARLES RIVARD DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003972

License Status

NOT RENEWED

Business

N

First Name

PAUL CHARLES

Last Name

RIVARD

Suffix

DPM

Business Name

PAUL CHARLES RIVARD DPM

Original Issue Date

07/01/1986

Effective Date

07/01/1986

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006