RAOUL EVAN REINERTSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

RAOUL EVAN

Last Name

REINERTSEN

Suffix

Business Name

RAOUL EVAN REINERTSEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006