CRISANTO M REYES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

CRISANTO M

Last Name

REYES

Suffix

Business Name

CRISANTO M REYES MD

Original Issue Date

01/18/2006

Effective Date

01/18/2006

Expiration Date

07/31/2008

City

CISSNA PARK

State

Zip

60924

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020