ERIC VINCENT REINERTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

VINCENT

Last Name

REINERTSON

Suffix

Business Name

ERIC VINCENT REINERTSON MD

Original Issue Date

02/09/1998

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021