CHRIS TARA BULAON DELOS REYES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130229

License Status

ACTIVE

Business

Title

First Name

CHRIS

Middle

TARA BULAON

Last Name

DELOS REYES

Business Name

CHRIS TARA BULAON DELOS REYES MD

Original Issue Date

04/30/2012

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

06/03/2023