CHARLES EDWIN REAVES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

CHARLES EDWIN

Last Name

REAVES

Suffix

Business Name

CHARLES EDWIN REAVES MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006