SANDRA C RIVERA LANTIGUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127331

License Status

NOT RENEWED

Business

Title

First Name

SANDRA

Middle

Last Name

RIVERA LANTIGUA

Business Name

SANDRA C RIVERA LANTIGUA MD

Original Issue Date

03/14/2011

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014