LISA JOANNE REIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

JOANNE

Last Name

REIS

Business Name

LISA JOANNE REIS MD

Original Issue Date

05/05/2009

Effective Date

05/05/2009

Expiration Date

07/31/2011

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011