REGINALD DWAYNE ADAMS DO - Medical Doctor License in Illinois | # 125040598

REGINALD DWAYNE ADAMS DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040598

License Status

EXPIRED

Business

N

Title

DO

First Name

REGINALD

Middle

DWAYNE

Last Name

ADAMS

Business Name

REGINALD DWAYNE ADAMS DO

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/19/2003

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006