RENAE NICOLE REISIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

RENAE

Middle

NICOLE

Last Name

REISIG

Business Name

RENAE NICOLE REISIG MD

Original Issue Date

04/15/2014

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

SAGINAW

State

Zip

48603

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017