MARIA THERESA A REYES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

MARIA THERESA A

Last Name

REYES

Business Name

MARIA THERESA A REYES

Original Issue Date

10/23/1995

Effective Date

10/23/1995

Expiration Date

07/31/1999

City

CENTRALIA

State

Zip

62801

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006