BRADLEY P REYNOLDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

REYNOLDS

Suffix

Business Name

BRADLEY P REYNOLDS MD

Original Issue Date

06/30/1988

Effective Date

06/30/1988

Expiration Date

07/31/2005

City

FLORA

State

Zip

62839

County

CLAY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006