SUMI LISA REBEIRO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070470

License Status

EXPIRED

Business

Title

First Name

SUMI

Middle

LISA

Last Name

REBEIRO

Business Name

SUMI LISA REBEIRO MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/11/2022