EDGARDO D RIVERA RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

EDGARDO

Middle

Last Name

RIVERA RIVERA

Business Name

EDGARDO D RIVERA RIVERA MD

Original Issue Date

11/21/2011

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017