ARISTEIDIE M DIVERIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073478

License Status

ACTIVE

Business

First Name

ARISTEIDIE M

Last Name

DIVERIS

Suffix

Business Name

ARISTEIDIE M DIVERIS MD

Original Issue Date

08/14/1986

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

PLEASANT PRAIRIE

State

Zip

53158

Ever Disciplined

LastModifiedDate

07/17/2023