CRISANTO M REYES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

CRISANTO M

Last Name

REYES

Suffix

Business Name

CRISANTO M REYES MD

Original Issue Date

06/03/2004

Effective Date

06/03/2004

Expiration Date

07/31/2005

City

MILFORD

State

Zip

60953

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020