MICHAEL C RIVERA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

RIVERA

Business Name

MICHAEL C RIVERA

Original Issue Date

12/23/2002

Effective Date

12/23/2002

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020