DMITRIY REZNIK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

NOT RENEWED

Business

First Name

DMITRIY

Last Name

REZNIK

Business Name

DMITRIY REZNIK

Original Issue Date

12/21/2006

Effective Date

03/13/2014

Expiration Date

03/01/2016

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

10/26/2016