ERNESTO S RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

ERNESTO

Middle

Last Name

RIVERA

Suffix

Business Name

ERNESTO S RIVERA MD

Original Issue Date

10/03/2002

Effective Date

10/03/2002

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008