STEPHEN P RIVERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028690

License Status

EXPIRED

Business

First Name

STEPHEN P

Last Name

RIVERA

Suffix

Business Name

STEPHEN P RIVERA MD

Original Issue Date

06/10/1992

Effective Date

06/10/1992

Expiration Date

06/30/1995

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006