MIRIAM RIVKIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085479

License Status

ACTIVE

Business

Title

First Name

MIRIAM

Last Name

RIVKIN

Business Name

MIRIAM RIVKIN MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHAMPAIGN

State

Zip

61822

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/02/2025