JAMES J DALLA RIVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

JAMES J

Last Name

DALLA RIVA

Suffix

Business Name

JAMES J DALLA RIVA MD

Original Issue Date

03/02/1994

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023