DANIEL JOTA REYES-VILLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119582

License Status

INACTIVE

Business

First Name

DANIEL

Middle

JOTA

Last Name

REYES-VILLA

Suffix

Business Name

DANIEL JOTA REYES-VILLA MD

Original Issue Date

10/23/2007

Effective Date

10/23/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008