IRMA LIEZL REYES DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061035

License Status

EXPIRED

Business

First Name

IRMA

Middle

LIEZL

Last Name

REYES

Suffix

Business Name

IRMA LIEZL REYES DO

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015