JOSE JORGE RIVERA MD - Medical Doctor License in Kentucky | # 036101881

JOSE JORGE RIVERA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101881

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

JORGE

Last Name

RIVERA

Suffix

MD

Business Name

JOSE JORGE RIVERA MD

Original Issue Date

02/01/2000

Effective Date

07/30/2008

Expiration Date

07/31/2011

State

KY

Ever Disciplined

N

LastModifiedDate

11/14/2011