DUSTIN LUKE REYNOLDS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077262

License Status

EXPIRED

Business

Title

First Name

DUSTIN

Middle

LUKE

Last Name

REYNOLDS

Business Name

DUSTIN LUKE REYNOLDS MD

Original Issue Date

10/08/2020

Effective Date

10/08/2020

Expiration Date

10/07/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pain Medicine

Ever Disciplined

LastModifiedDate

10/11/2022