MERRELL DEE REISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

MERRELL DEE

Last Name

REISS

Suffix

Business Name

MERRELL DEE REISS MD

Original Issue Date

01/01/1997

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

ELK GROVE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021