CHRISTINE MARIE REYNOSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

CHRISTINE

Middle

MARIE

Last Name

REYNOSO

Business Name

CHRISTINE MARIE REYNOSO MD

Original Issue Date

07/20/2016

Effective Date

06/29/2017

Expiration Date

09/30/2020

City

BOTHELL

State

Zip

98012

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021