JOSE JORGE RIVERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101881

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

JORGE

Last Name

RIVERA

Suffix

Business Name

JOSE JORGE RIVERA MD

Original Issue Date

02/01/2000

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

CRESTVIEW

State

Zip

41015

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/14/2011