ERNESTO S RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107892

License Status

NOT RENEWED

Business

First Name

ERNESTO

Middle

Last Name

RIVERA

Suffix

Business Name

ERNESTO S RIVERA MD

Original Issue Date

09/19/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/06/2008