DIEGO PAUL REYNOSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156568

License Status

NOT RENEWED

Business

Title

First Name

DIEGO

Middle

PAUL

Last Name

REYNOSO

Business Name

DIEGO PAUL REYNOSO MD

Original Issue Date

04/15/2021

Effective Date

04/15/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023