ANNA LOURDES RIVERA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

Title

DMD

First Name

ANNA

Middle

LOURDES

Last Name

RIVERA

Business Name

ANNA LOURDES RIVERA DMD

Original Issue Date

10/01/2022

Effective Date

10/01/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025