PAULETTE LUCILLE GREY RIVERIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145988

License Status

NOT RENEWED

Business

Title

First Name

PAULETTE

Middle

LUCILLE

Last Name

GREY RIVERIA

Business Name

PAULETTE LUCILLE GREY RIVERIA MD

Original Issue Date

05/07/2018

Effective Date

05/07/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021