BRIAN ROY RIVELAND Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157488

License Status

ACTIVE

Business

First Name

BRIAN

Middle

ROY

Last Name

RIVELAND

Business Name

BRIAN ROY RIVELAND

Original Issue Date

06/23/2021

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

06/20/2023