MICHAEL MALAVE RIVERA OD - Optometrist License in Illinois | # 046008959

MICHAEL MALAVE RIVERA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008959

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

MALAVE RIVERA

Suffix

OD

Business Name

MICHAEL MALAVE RIVERA OD

Original Issue Date

12/02/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005