DANIEL WAYNE REYNOLDS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043028

License Status

EXPIRED

Business

First Name

DANIEL

Middle

WAYNE

Last Name

REYNOLDS

Suffix

Business Name

DANIEL WAYNE REYNOLDS DO

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006