ANTHONY RIVERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046382

License Status

EXPIRED

Business

First Name

ANTHONY

Last Name

RIVERA

Suffix

Business Name

ANTHONY RIVERA MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2004

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006