DANIEL DOUGLAS RIVARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

DANIEL

Middle

DOUGLAS

Last Name

RIVARD

Suffix

Business Name

DANIEL DOUGLAS RIVARD MD

Original Issue Date

06/19/2008

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023