MIGUEL ANGEL ORTIZ RIVERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080748

License Status

ACTIVE

Business

Title

First Name

MIGUEL

Middle

ANGEL

Last Name

ORTIZ RIVERA

Business Name

MIGUEL ANGEL ORTIZ RIVERA MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2027

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/17/2025