JACQUES JOSE LARA REYNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081086

License Status

ACTIVE

Business

Title

First Name

JACQUES

Middle

JOSE

Last Name

LARA REYNA

Business Name

JACQUES JOSE LARA REYNA MD

Original Issue Date

08/16/2025

Effective Date

08/16/2025

Expiration Date

08/15/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

04/23/2025