JUAN P REYES GENERE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064504

License Status

EXPIRED

Business

Title

First Name

JUAN

Middle

Last Name

REYES GENERE

Business Name

JUAN P REYES GENERE MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017