MEGAN KATHLEEN REIS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051091

License Status

CANCELLED

Business

First Name

MEGAN

Middle

KATHLEEN

Last Name

REIS

Suffix

Business Name

MEGAN KATHLEEN REIS DO

Original Issue Date

06/29/2006

Effective Date

06/29/2006

Expiration Date

06/28/2009

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006