KEVIN STEPHEN REITSMA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

STEPHEN

Last Name

REITSMA

Suffix

Business Name

KEVIN STEPHEN REITSMA DO

Original Issue Date

09/29/1998

Effective Date

06/16/2011

Expiration Date

07/31/2014

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014