LYNNOVA J REYNOLDS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

LYNNOVA

Middle

Last Name

REYNOLDS

Business Name

LYNNOVA J REYNOLDS

Original Issue Date

09/16/1998

Effective Date

09/16/1998

Expiration Date

07/31/2005

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011