License Directory

Bonafacio M Rivera Md

Suspended

Illinois license 036052549

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036052549
Status
Suspended
First issued
March 26, 1976
Expired
July 31, 2005
License holder
Bonafacio M Rivera Md
Entity type
Individual

Classifications

More from the license record

Current term began
03/26/1976
Ever disciplined
Yes
Discipline case
2001004059
Discipline action
Suspension
Discipline reason
Failed to file and pay Illinois income taxes.
Discipline dates
05/14/2003

Other Illinois licenses under this name

  • IL
    Bonafacio M Rivera Md
    License 33*****59
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Northbrook, IL
    Expired Jul 31, 2005

Contact

Northbrook, IL 60062
Cook County