MICHELLE ANNE RIVERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050934

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

ANNE

Last Name

RIVERA

Business Name

MICHELLE ANNE RIVERA MD

Original Issue Date

08/12/2010

Effective Date

08/12/2010

Expiration Date

10/11/2010

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

11/17/2010