NEMENCIO REYES RONQUILLO JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057319

License Status

EXPIRED

Business

Title

First Name

NEMENCIO

Middle

REYES

Last Name

RONQUILLO

Suffix

Business Name

NEMENCIO REYES RONQUILLO JR MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

07/24/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/04/2015