CAROLYN RIVERA GARCIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

RIVERA

Last Name

GARCIA

Suffix

Business Name

CAROLYN RIVERA GARCIA MD

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

07/31/2008

City

MANTENO

State

Zip

60950

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008