AMANDO A RENIVA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105799

License Status

ACTIVE

Business

First Name

AMANDO

Middle

Last Name

RENIVA

Business Name

AMANDO A RENIVA

Original Issue Date

11/01/2001

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2023