MICHAEL MALAVE RIVERA OD - Optometrist License in Illinois | # 047926100

MICHAEL MALAVE RIVERA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926100

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

MALAVE RIVERA

Suffix

OD

Business Name

MICHAEL MALAVE RIVERA OD

Original Issue Date

01/15/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005