NINA RIVERA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

INOPERATIVE

Business

First Name

NINA

Last Name

RIVERA

Business Name

NINA RIVERA

Original Issue Date

09/25/2024

Effective Date

09/25/2024

Expiration Date

03/01/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

12/03/2025