MARIA LOURDES PE RIVERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

MARIA LOURDES PE

Last Name

RIVERA

Suffix

Business Name

MARIA LOURDES PE RIVERA MD

Original Issue Date

01/19/1996

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023