MICHELLE ANNE RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129289

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

ANNE

Last Name

RIVERA

Business Name

MICHELLE ANNE RIVERA MD

Original Issue Date

11/29/2011

Effective Date

11/29/2011

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014