NELSON IVAN REYES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046027

License Status

EXPIRED

Business

First Name

NELSON

Middle

IVAN

Last Name

REYES

Suffix

Business Name

NELSON IVAN REYES MD

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/18/2004

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006