BRYAN JASON REYNOLDS - Physician Assistant License in Illinois | # 085002016

BRYAN JASON REYNOLDS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002016

License Status

NOT RENEWED

Business

N

First Name

BRYAN

Middle

JASON

Last Name

REYNOLDS

Business Name

BRYAN JASON REYNOLDS

Original Issue Date

06/30/2003

Effective Date

06/30/2003

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006