MICHAEL ANTHONY REYES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANTHONY

Last Name

REYES

Suffix

Business Name

MICHAEL ANTHONY REYES MD

Original Issue Date

01/09/2002

Effective Date

01/09/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006