DIEGO PAUL REYNOSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

DIEGO

Middle

PAUL

Last Name

REYNOSO

Business Name

DIEGO PAUL REYNOSO MD

Original Issue Date

07/15/2021

Effective Date

07/15/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023