MARK J RIVELLESE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031220

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

RIVELLESE

Business Name

MARK J RIVELLESE

Original Issue Date

05/18/1994

Effective Date

05/18/1994

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006