IVAN DE LA RIVA MORALES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079422

License Status

CANCELLED

Business

Title

First Name

IVAN

Middle

DE LA RIVA

Last Name

MORALES

Business Name

IVAN DE LA RIVA MORALES MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

LastModifiedDate

02/11/2025