DANIEL DOUGLAS RIVARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119810

License Status

ACTIVE

Business

First Name

DANIEL

Middle

DOUGLAS

Last Name

RIVARD

Suffix

Business Name

DANIEL DOUGLAS RIVARD MD

Original Issue Date

12/11/2007

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

06/28/2023