LAURA THALIA REIS DO - Medical Doctor License in Idaho | # 33*****78

LAURA THALIA REIS DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

N

Title

DO

First Name

LAURA

Middle

THALIA

Last Name

REIS

Business Name

LAURA THALIA REIS DO

Original Issue Date

08/22/2025

Effective Date

08/22/2025

Expiration Date

07/31/2026

State

ID

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

N

LastModifiedDate

08/22/2025