MERVYN STEPHEN RIVIERE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013507

License Status

EXPIRED

Business

First Name

MERVYN STEPHEN

Last Name

RIVIERE

Business Name

MERVYN STEPHEN RIVIERE

Original Issue Date

09/09/1981

Effective Date

09/09/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006