SANDRA C RIVERA LANTIGUA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055425

License Status

CANCELLED

Business

Title

First Name

SANDRA

Middle

Last Name

RIVERA LANTIGUA

Business Name

SANDRA C RIVERA LANTIGUA MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/14/2011