JUAN REYNOSO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

JUAN

Last Name

REYNOSO

Suffix

JR MD

Business Name

JUAN REYNOSO JR MD

Original Issue Date

02/11/2008

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011