Santos Michael Rivera
ExpiredIllinois license 085004585
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085004585
- Status
- Expired (Not Renewed)
- First issued
- December 12, 2012
- Expired
- March 1, 2020
- License holder
- Santos Michael Rivera
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 03/02/2018
Contact
Rockford, IL 61101
Winnebago County