DIEGO RIVERA PA-C Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

Title

PA-C

First Name

DIEGO

Last Name

RIVERA

Business Name

DIEGO RIVERA PA-C

Original Issue Date

11/30/2023

Effective Date

12/07/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/07/2025