BRENDA R REITER AFFINATI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

BRENDA R REITER

Last Name

AFFINATI

Business Name

BRENDA R REITER AFFINATI

Original Issue Date

01/30/1996

Effective Date

01/30/1996

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020