STEPHEN KENT DU RIVAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

STEPHEN KENT

Last Name

DU RIVAGE

Suffix

Business Name

STEPHEN KENT DU RIVAGE MD

Original Issue Date

11/29/1982

Effective Date

11/29/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006