REGINALD DWAYNE ADAMS DO 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

Title

First Name

REGINALD

Middle

DWAYNE

Last Name

ADAMS

Business Name

REGINALD DWAYNE ADAMS DO

Original Issue Date

02/07/2014

Effective Date

02/07/2014

Expiration Date

07/31/2014

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014