IRIS GRISSELLE MARIN RIVERA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077921

License Status

CANCELLED

Business

Title

First Name

IRIS

Middle

GRISSELLE

Last Name

MARIN RIVERA

Business Name

IRIS GRISSELLE MARIN RIVERA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2021