MICHAEL C RIVERA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

RIVERA

Business Name

MICHAEL C RIVERA

Original Issue Date

07/28/2003

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60175

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023