ARISTEIDIE M DIVERIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

ARISTEIDIE M

Last Name

DIVERIS

Suffix

Business Name

ARISTEIDIE M DIVERIS MD

Original Issue Date

07/07/1987

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

PLEASANT PRAIRIE

State

Zip

53158

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/20/2024