PAMELA PRESTON REYNOLDS 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

PAMELA

Middle

PRESTON

Last Name

REYNOLDS

Business Name

PAMELA PRESTON REYNOLDS

Original Issue Date

12/14/2006

Effective Date

12/14/2006

Expiration Date

07/31/2008

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008