AUSTIN BLANE REYNOLDS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084561

License Status

ACTIVE

Business

Title

First Name

AUSTIN

Middle

BLANE

Last Name

REYNOLDS

Business Name

AUSTIN BLANE REYNOLDS DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/03/2024