MARCELO RENAN RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055763

License Status

NOT RENEWED

Business

First Name

MARCELO RENAN

Last Name

RIVERA

Suffix

Business Name

MARCELO RENAN RIVERA MD

Original Issue Date

09/23/1977

Effective Date

09/23/1977

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006