RAOUL EVAN REINERTSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038590

License Status

INACTIVE

Business

First Name

RAOUL EVAN

Last Name

REINERTSEN

Suffix

Business Name

RAOUL EVAN REINERTSEN MD

Original Issue Date

09/06/1963

Effective Date

09/06/1963

Expiration Date

07/31/2002

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/09/2006