DAVID JUSTIN REA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JUSTIN

Last Name

REA

Business Name

DAVID JUSTIN REA MD

Original Issue Date

09/02/2011

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

ROCHESTER

State

Zip

55902

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021