MICHELLE ANNE RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

ANNE

Last Name

RIVERA

Business Name

MICHELLE ANNE RIVERA MD

Original Issue Date

11/29/2011

Effective Date

11/29/2011

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014