DIEGO RIVERA PA-C Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007712

License Status

ACTIVE

Business

Title

PA-C

First Name

DIEGO

Last Name

RIVERA

Business Name

DIEGO RIVERA PA-C

Original Issue Date

06/02/2020

Effective Date

12/07/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

12/07/2025