VIRGIL CAYTON REID III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

VIRGIL

Middle

CAYTON

Last Name

REID

Suffix

III MD

Business Name

VIRGIL CAYTON REID III MD

Original Issue Date

06/28/2016

Effective Date

06/28/2016

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020