SCOTT BRADLEY REICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101195

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

BRADLEY

Last Name

REICH

Suffix

Business Name

SCOTT BRADLEY REICH MD

Original Issue Date

09/01/1999

Effective Date

09/01/1999

Expiration Date

07/31/2005

City

WAUNAKEE

State

Zip

53597

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006