SENEN REYES DALISAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049943

License Status

NOT RENEWED

Business

First Name

SENEN REYES

Last Name

DALISAY

Suffix

Business Name

SENEN REYES DALISAY MD

Original Issue Date

10/10/1974

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HAMILTON

State

Zip

62341

County

HANCOCK

Ever Disciplined

LastModifiedDate

11/14/2011