EDMUNDO ALEJANDRO RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135309

License Status

NOT RENEWED

Business

Title

First Name

EDMUNDO

Middle

ALEJANDRO

Last Name

RIVERA

Business Name

EDMUNDO ALEJANDRO RIVERA MD

Original Issue Date

05/12/2014

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017