HERNAN S REYES MD SC Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048246

License Status

CANCELLED

Business

Title

MD SC

First Name

HERNAN

Middle

Last Name

REYES

Business Name

HERNAN S REYES MD SC

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006