NINA RIVERA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010524

License Status

ACTIVE

Business

First Name

NINA

Last Name

RIVERA

Business Name

NINA RIVERA

Original Issue Date

07/25/2024

Effective Date

07/25/2024

Expiration Date

03/01/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

12/03/2025