PAULETTE LUCILLE GREY RIVERIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055016

License Status

EXPIRED

Business

Title

First Name

PAULETTE

Middle

LUCILLE

Last Name

GREY RIVERIA

Business Name

PAULETTE LUCILLE GREY RIVERIA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011