DANIELA REID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

DANIELA

Last Name

REID

Suffix

Business Name

DANIELA REID MD

Original Issue Date

09/28/1990

Effective Date

09/28/1990

Expiration Date

07/31/2008

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008