JOHN KEVIN REFORSADO BASE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084932

License Status

ACTIVE

Business

Title

First Name

JOHN KEVIN

Middle

REFORSADO

Last Name

BASE

Business Name

JOHN KEVIN REFORSADO BASE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/27/2024