DANIEL JOTA REYES-VILLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050173

License Status

CANCELLED

Business

First Name

DANIEL

Middle

JOTA

Last Name

REYES-VILLA

Suffix

Business Name

DANIEL JOTA REYES-VILLA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006