ITZA M RIVERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054135

License Status

EXPIRED

Business

Title

First Name

ITZA

Middle

Last Name

RIVERA

Business Name

ITZA M RIVERA MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neuromuscular Medicine

Ever Disciplined

LastModifiedDate

07/15/2009