CHARLES DUSTEN REEVE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058430

License Status

CANCELLED

Business

Title

First Name

CHARLES

Middle

DUSTEN

Last Name

REEVE

Business Name

CHARLES DUSTEN REEVE DO

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

NEW BERLIN

State

Zip

62670

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/03/2010