HERNAN MACABALLU REYES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042084

License Status

INACTIVE

Business

First Name

HERNAN MACABALLU

Last Name

REYES

Suffix

Business Name

HERNAN MACABALLU REYES MD

Original Issue Date

08/01/1968

Effective Date

08/01/1968

Expiration Date

07/31/2002

City

CAPTIVA ISLAND

State

Zip

33924

Ever Disciplined

LastModifiedDate

11/05/2007