CHARLES DUSTEN REEVE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

DUSTEN

Last Name

REEVE

Business Name

CHARLES DUSTEN REEVE DO

Original Issue Date

08/10/2012

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023