License Verification

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MIRIAM LISSETTE RIVERA

License Number: ACN295

Data As Of 4/23/2025

Profession
Area of Critical Need Medical Doctor
License
ACN295
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
12/10/2008
Address of Record
339 CYPRESS PARKWAY STE. #110
ST. PETERS MEDICAL GROUP, INC.
KISSIMMEE, FL 34758
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
295 Patterson Rd Ste 103
HAINES CITY, FL 33844
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/24/2025



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** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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