REGINALD ARISTO GIVENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

REGINALD ARISTO

Last Name

GIVENS

Suffix

Business Name

REGINALD ARISTO GIVENS MD

Original Issue Date

09/11/1996

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61110

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023