RANDALL J REID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

RANDALL J

Last Name

REID

Suffix

Business Name

RANDALL J REID MD

Original Issue Date

09/30/1991

Effective Date

09/30/1991

Expiration Date

07/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006