CARLOS MARIO RIVERA SERRANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

MARIO

Last Name

RIVERA SERRANO

Business Name

CARLOS MARIO RIVERA SERRANO MD

Original Issue Date

10/16/2015

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62902

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023