CHRISTOPHER REYES FERNANDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

REYES

Last Name

FERNANDEZ

Suffix

Business Name

CHRISTOPHER REYES FERNANDEZ MD

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006