BRYAN JASON REYNOLDS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002016

License Status

NOT RENEWED

Business

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

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006