DOUGLAS SCOTT REEVE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002626

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

SCOTT

Last Name

REEVE

Business Name

DOUGLAS SCOTT REEVE

Original Issue Date

10/18/2005

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2018