JILL JOANNE D REYES Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

CANCELLED

Business

First Name

JILL JOANNE

Middle

Last Name

REYES

Business Name

JILL JOANNE D REYES

Original Issue Date

11/14/2003

Effective Date

11/14/2003

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006