LEONOR B RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097786

License Status

NOT RENEWED

Business

First Name

LEONOR

Middle

Last Name

RIVERA

Suffix

Business Name

LEONOR B RIVERA MD

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

10/21/2010