RICHARD C REBA 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

RICHARD C

Last Name

REBA

Business Name

RICHARD C REBA

Original Issue Date

10/17/1991

Effective Date

10/17/1991

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006