JENNIFER DELA ROSA REYES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044753

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

DELA ROSA

Last Name

REYES

Suffix

Business Name

JENNIFER DELA ROSA REYES MD

Original Issue Date

05/28/2002

Effective Date

05/28/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006