DANIEL DOUGLAS RIVARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

CANCELLED

Business

First Name

DANIEL

Middle

DOUGLAS

Last Name

RIVARD

Suffix

Business Name

DANIEL DOUGLAS RIVARD MD

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020