DOMINIQUE ELOISE REEVES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077657

License Status

CANCELLED

Business

Title

First Name

DOMINIQUE

Middle

ELOISE

Last Name

REEVES

Business Name

DOMINIQUE ELOISE REEVES MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

FLOSSMOOR

State

Zip

60422

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/09/2021