STEPHEN KENT DU RIVAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064690

License Status

NOT RENEWED

Business

First Name

STEPHEN KENT

Last Name

DU RIVAGE

Suffix

Business Name

STEPHEN KENT DU RIVAGE MD

Original Issue Date

07/13/1982

Effective Date

07/13/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006