ERIC REISS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038957

License Status

NOT RENEWED

Business

First Name

ERIC

Last Name

REISS

Business Name

ERIC REISS

Original Issue Date

02/14/1964

Effective Date

02/14/1964

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006