LUIS LOMELI RIVERA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065736

License Status

CANCELLED

Business

Title

First Name

LUIS

Middle

LOMELI

Last Name

RIVERA

Business Name

LUIS LOMELI RIVERA MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/30/2014