License holder summary

ALFONSO P RIVERA is a Board Of Medicine licensed to practice in Idaho. The address on file for ALFONSO P RIVERA is 2455 EAGLE RUN DR WESTON FL 33327. This licensed professional license is current. The license was granted 04/11/2007 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

ALFONSO P RIVERA
Board Of Medicine
License number
M-9884
Date granted
04/11/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2455 EAGLE RUN DR WESTON FL 33327
idaholicensing.com
ID 48355427
LAST UPDATED 2024-03-13 17:29:26 UTC

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