MARIANO E RIVERA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

First Name

MARIANO

Middle

Last Name

RIVERA

Business Name

MARIANO E RIVERA

Original Issue Date

07/06/2011

Effective Date

01/04/2025

Expiration Date

01/31/2027

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025