ROGER KENT RIVES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

ROGER KENT

Last Name

RIVES

Suffix

Business Name

ROGER KENT RIVES MD

Original Issue Date

01/01/1997

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021