MAVI MAUREEN RIVERA PAVON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074737

License Status

EXPIRED

Business

Title

First Name

MAVI

Middle

MAUREEN

Last Name

RIVERA PAVON

Business Name

MAVI MAUREEN RIVERA PAVON MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022