IRIS GRISSELLE MARIN RIVERA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

IRIS

Middle

GRISSELLE

Last Name

MARIN RIVERA

Business Name

IRIS GRISSELLE MARIN RIVERA MD

Original Issue Date

05/21/2024

Effective Date

05/21/2024

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2024