DONNIE S RIVERA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028351

License Status

NOT RENEWED

Business

First Name

DONNIE

Middle

Last Name

RIVERA

Suffix

DDS

Business Name

DONNIE S RIVERA DDS

Original Issue Date

06/11/2010

Effective Date

06/11/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012