JOHN KEVIN REFORSADO BASE MD - Medical Doctor License in Illinois | # 125084932

JOHN KEVIN REFORSADO BASE MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084932

License Status

ACTIVE

Business

N

Title

MD

First Name

JOHN KEVIN

Middle

REFORSADO

Last Name

BASE

Business Name

JOHN KEVIN REFORSADO BASE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/27/2024