BETHANY ANN REISS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027201

License Status

EXPIRED

Business

First Name

BETHANY ANN

Last Name

REISS

Business Name

BETHANY ANN REISS

Original Issue Date

06/18/1991

Effective Date

06/18/1991

Expiration Date

06/30/1992

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006