MARK D REYNOLDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

CANCELLED

Business

First Name

MARK D

Last Name

REYNOLDS

Suffix

Business Name

MARK D REYNOLDS MD

Original Issue Date

10/18/1995

Effective Date

10/18/1995

Expiration Date

07/31/2002

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006