REYNAL L CALDWELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

REYNAL

Middle

Last Name

CALDWELL

Business Name

REYNAL L CALDWELL DO

Original Issue Date

06/13/2012

Effective Date

03/01/2024

Expiration Date

07/31/2026

City

VANDALIA

State

Zip

62471

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/01/2024