ROBERT JOHN RIVAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041382

License Status

INACTIVE

Business

First Name

ROBERT JOHN

Last Name

RIVAN

Suffix

Business Name

ROBERT JOHN RIVAN MD

Original Issue Date

08/29/1967

Effective Date

08/29/1967

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006