CHARLES DUSTEN REEVE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131123

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

DUSTEN

Last Name

REEVE

Business Name

CHARLES DUSTEN REEVE DO

Original Issue Date

08/10/2012

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/02/2023